Provider Demographics
NPI:1811125156
Name:BEGGS, CHRIS ALLEN (CST, COF)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:ALLEN
Last Name:BEGGS
Suffix:
Gender:M
Credentials:CST, COF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 LONE OAK RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-7913
Mailing Address - Country:US
Mailing Address - Phone:270-217-7915
Mailing Address - Fax:270-441-4830
Practice Address - Street 1:1532 LONE OAK RD
Practice Address - Street 2:SUITE 310
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-7913
Practice Address - Country:US
Practice Address - Phone:270-217-7915
Practice Address - Fax:270-441-4830
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY13798246ZS0410X
MDC50155225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter