Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 241 | KY |
Y | 222Z00000X | Podiatrist | 241 | KY |
NPI | 1003878463 |
---|---|
Provider Name | Sheryl L Gstalder-Chaney |
First Address | Pikeville, KY 41501 |
Second Address | Pikeville, KY 41501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 06/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
80002413 | (05) | KY |
U73458 | (02) |