MEDICARE: CHLOE O'BRYAN

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
1	104100000X	Social Worker		KY

General Provider Information

NPI Number	:	1598602823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE O'BRYAN

Provider Business Mailing Address
First Line	:	12945 W HIGHWAY 42
Second Line	:
City	:	PROSPECT
State	:	KY
Zip	:	40059-9107
Country	:	US
Telephone Number	:	502-709-0410
Fax Number	:

Provider Business Practice Location Address
First Line	:	12945 W HIGHWAY 42
Second Line	:
City	:	PROSPECT
State	:	KY
Zip	:	40059-9107
Country	:	US
Telephone Number	:	502-709-0410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ CHLOE O'BRYAN ” Practice Location

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