Healthcare Provider Details

I. General information

NPI: 1538698691
Provider Name (Legal Business Name): LYNN M CHEN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNN M MYERS APRN

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 AMSDEN AVENUE SUITE 301
VERSAILLES KY
40383
US

IV. Provider business mailing address

363 AMSDEN AVENUE GASTROENTEROLOGY AND HEPATOLOGY SUITE 301
VERSAILLES KY
40383
US

V. Phone/Fax

Practice location:
  • Phone: 859-879-2451
  • Fax: 859-879-0658
Mailing address:
  • Phone: 859-879-2451
  • Fax: 859-873-0658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3011354
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3011354
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: