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NPI Code Detail

MEDICARE: CHAZ ARNOLD DO

MEDICARE: CHAZ ARNOLD DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician05167KY

General Provider Information

NPI Number : 1558927830
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAZ ARNOLD DO
Provider Business Mailing Address
First Line : 793 EASTERN BYP STE 110
Second Line :
City : RICHMOND
State : KY
Zip : 40475-2425
Country : US
Telephone Number : 859-624-2020
Fax Number : 859-623-7362
Provider Business Practice Location Address
First Line : 793 EASTERN BYP STE 110
Second Line :
City : RICHMOND
State : KY
Zip : 40475-2425
Country : US
Telephone Number : 859-624-2020
Fax Number : 859-623-7362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2019
Last Update Date : 07/11/2022

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Directions to “ CHAZ ARNOLD DO” Practice Location

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