Provider Demographics
NPI:1295853109
Name:CHABOT, YVONNE MARIE
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:MARIE
Last Name:CHABOT
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 1:591 HOPEWELL RD
Mailing Address - Street 2:
Mailing Address - City:HARRODSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40330-9159
Mailing Address - Country:US
Mailing Address - Phone:859-733-0605
Mailing Address - Fax:
Practice Address - Street 1:591 HOPEWELL RD
Practice Address - Street 2:
Practice Address - City:HARRODSBURG
Practice Address - State:KY
Practice Address - Zip Code:40330-9159
Practice Address - Country:US
Practice Address - Phone:859-733-0605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1109174163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine