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General NPI Number Information
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NPI Number | 1093697765
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Entity Type | Individual
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Provider Name | CHLOE KERRICK PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 543 POWELL LN
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City | BENTON
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State | KY
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Zip | 42025-5366
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Country | US
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Telephone | 270-415-7070
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Fax | 270-415-7071
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Provider Business Mailing Address
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Address Line | 711 WEATHERWOOD RD
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City | SYMSONIA
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State | KY
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Zip | 42082-9500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TC60
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License Number State | KY
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