Provider Demographics
NPI:1356827034
Name:KWOK, CHERYL (MA)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:
Last Name:KWOK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 RED MILE RD APT 4103C
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2787
Mailing Address - Country:US
Mailing Address - Phone:859-420-8823
Mailing Address - Fax:
Practice Address - Street 1:501 DARBY CREEK RD, ST. 7
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1604
Practice Address - Country:US
Practice Address - Phone:859-227-2337
Practice Address - Fax:859-268-2472
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program