Healthcare Provider Details

I. General information

NPI: 1992928048
Provider Name (Legal Business Name): CYBIL KELLY CHEEK M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1109 PARLIAMENT WAY
LEXINGTON KY
40517-1030
US

IV. Provider business mailing address

1109 PARLIAMENT WAY
LEXINGTON KY
40517-1030
US

V. Phone/Fax

Practice location:
  • Phone: 502-432-6100
  • Fax: 859-523-5317
Mailing address:
  • Phone: 502-432-6100
  • Fax: 859-523-5317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: