Provider Demographics
NPI:1255920567
Name:GERKEN, CHELSEA M (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:M
Last Name:GERKEN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5922 NOEL CREEK LN
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41005-8595
Mailing Address - Country:US
Mailing Address - Phone:513-919-9039
Mailing Address - Fax:
Practice Address - Street 1:305 MARY GRUBBS HWY
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:KY
Practice Address - Zip Code:41094-7483
Practice Address - Country:US
Practice Address - Phone:859-485-7733
Practice Address - Fax:859-485-2749
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY017765183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist