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Individual

MEGAN CHESTNUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OPT

Contact information

Practice address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 218-2644
Mailing address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 218-2644

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
163128
KY

Other

Enumeration date
12/10/2020
Last updated
12/10/2020
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