Provider Demographics
NPI:1902593619
Name:CHENAULT, DREMA LYNN
Entity type:Individual
Prefix:
First Name:DREMA
Middle Name:LYNN
Last Name:CHENAULT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 ARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-4725
Mailing Address - Country:US
Mailing Address - Phone:304-972-5906
Mailing Address - Fax:
Practice Address - Street 1:2413 ARTHUR ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-4725
Practice Address - Country:US
Practice Address - Phone:304-972-5906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator