Healthcare Provider Details

I. General information

NPI: 1578756821
Provider Name (Legal Business Name): MELANIE LIND CHESNUT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELANIE LIND CHESNUT APRN

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 04/27/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 HOSPITAL DR STE 2
BARBOURVILLE KY
40906-7363
US

IV. Provider business mailing address

80 HOSPITAL DR STE 2
BARBOURVILLE KY
40906-7363
US

V. Phone/Fax

Practice location:
  • Phone: 606-545-4460
  • Fax: 606-545-4469
Mailing address:
  • Phone: 606-545-4460
  • Fax: 65-454-4469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3005280
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: