Provider Demographics
NPI:1417301276
Name:CHMIELEWSKI, CATHY (HIS)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:CHMIELEWSKI
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 MERCHANT DR
Mailing Address - Street 2:STE #1
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8188
Mailing Address - Country:US
Mailing Address - Phone:859-545-0410
Mailing Address - Fax:859-575-1198
Practice Address - Street 1:2008 MERCHANT DR
Practice Address - Street 2:STE #1
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8188
Practice Address - Country:US
Practice Address - Phone:859-545-0410
Practice Address - Fax:859-575-1198
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYHISHSP00222136237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist