Provider Demographics
NPI:1023310380
Name:CHENEY, CRAIG MATTHEW (DC)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:MATTHEW
Last Name:CHENEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 WILLIAM THOMASON BYU
Mailing Address - Street 2:
Mailing Address - City:LEITCHFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42754-1402
Mailing Address - Country:US
Mailing Address - Phone:270-832-8355
Mailing Address - Fax:270-971-1451
Practice Address - Street 1:214 WILLIAM THOMASON BYU
Practice Address - Street 2:
Practice Address - City:LEITCHFIELD
Practice Address - State:KY
Practice Address - Zip Code:42754-1402
Practice Address - Country:US
Practice Address - Phone:270-832-8355
Practice Address - Fax:270-971-1451
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor