Sherry Lynn Chegwidden, LPN

Individual provider Active NPI Licensed Practical Nurse · Newport, KY

NPI 1457604209 · NPPES record last updated Oct 17, 2012

Key facts

NPI
1457604209
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN.109110-M-IV (KY)
Practice address
936 Putnam St
Newport, KY 41071-1440
Phone
(859) 261-0041
NPI assigned
Oct 17, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN.109110-M-IVKYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.109110-M-IV KY Yes

Addresses

Primary practice location

936 Putnam St
Newport, KY 41071-1440

Mailing address

936 Putnam St
Newport, KY 41071-1440
Phone (859) 261-0041

Other providers in Newport, KY

All providers in Newport, KY · Licensed Practical Nurse in Kentucky

Sources for this page

Verify at the official NPI Registry.