Active NPI
Glen Chaney, MD
- Pediatrics Physician
- Paducah, KY
National Provider Identifier
1194711721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18107
- Practice address
- 2605 Kentucky Ave
Paducah, KY 42003-3800 - Phone
- (270) 744-9600
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18107 | KY | Primary |
Addresses
Primary practice location
2605 Kentucky Ave
Paducah, KY 42003-3800
Mailing address
2605 Kentucky Ave
Paducah, KY 42003-3800
Phone (270) 744-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64181076 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18107 | KY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194711721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 KENTUCKY AVE",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033800",
"telephone_number": "270-744-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 KENTUCKY AVE",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033800",
"telephone_number": "270-744-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANEY",
"first_name": "GLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "18107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64181076",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.