Individual
GERALD CHEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST, LOUISVILLE, KY 40202-5700
(502) 583-8303
Mailing address
401 E CHESTNUT ST, LOUISVILLE, KY 40202-5700
(502) 583-8303
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
56084
KY
Other
Enumeration date
03/31/2016
Last updated
08/10/2023
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