Provider Information for 1003349184
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CHELSEY EARNEST MCALLISTER
Other Names:Former Name:CHELSEY EARNESTSex: Female
NPI: 1003349184
Last Updated: 2024-02-07
Certification Date: 2024-02-07
Certification Date: 2024-02-07
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1003349184 | ||||||||||||
| Enumeration Date | 2017-04-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 614 HOPKINSVILLE, KY 42241-0614 United States Phone: 270-886-2205 | Fax:270-886-0392 | ||||||||||||
| Primary Practice Address | 290 BURLEY AVE HOPKINSVILLE, KY 42240-8725 United States Phone: 270-707-2098 | Fax:270-707-2099 | ||||||||||||
| Secondary Practice Address(es) | 2400 RUSSELLVILLE RD | ||||||||||||
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