| Cherawen Group | |
|
4060 Troy Pike Versailles KY 40383-8924 | |
| (859) 229-1225 | |
| Not Available |
| Full Name | Cherawen Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4060 Troy Pike, Versailles, Kentucky |
| Authorized Official Name and Position | Cheryl Mcclain (MANAGER) |
| Authorized Official Contact | 8592291225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherawen Group 4060 Troy Pike Versailles KY 40383-8924 Ph: (859) 229-1225 | Cherawen Group 4060 Troy Pike Versailles KY 40383-8924 Ph: (859) 229-1225 |
| NPI Number | 1083231682 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 07/03/2023 |
| Certification Date | 07/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083231682 | NPI | - | NPPES |
| 0157267726 | Other | KY | CORPORATE BUSINESS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | () | Secondary |
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