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NPI Code Detail

MEDICARE: CHANTAE LYKINS

MEDICARE:   CHANTAE  LYKINS
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner4053170KY

General Provider Information

NPI Number : 1619823457
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTAE LYKINS
Provider Business Mailing Address
First Line : 100 COUNTRY EST
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-8217
Country : US
Telephone Number : 505-548-0974
Fax Number :
Provider Business Practice Location Address
First Line : 100 COUNTRY EST
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-8217
Country : US
Telephone Number : 606-548-0974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “ CHANTAE LYKINS ” Practice Location

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