Provider Demographics
NPI:1124350384
Name:ABNEY, CHARLES MITCHEL
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:MITCHEL
Last Name:ABNEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 PARIS PIKE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8804
Mailing Address - Country:US
Mailing Address - Phone:502-868-0599
Mailing Address - Fax:502-868-5229
Practice Address - Street 1:1501 PARIS PIKE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-8804
Practice Address - Country:US
Practice Address - Phone:502-868-0599
Practice Address - Fax:502-868-5229
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist