Provider Demographics
NPI:1841289220
Name:HUNTINGTON, ANNE CHADBURN (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:CHADBURN
Last Name:HUNTINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6400 WESTWIND WAY
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014
Mailing Address - Country:US
Mailing Address - Phone:502-243-2227
Mailing Address - Fax:502-243-2237
Practice Address - Street 1:6400 WESTWIND WAY
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-6773
Practice Address - Country:US
Practice Address - Phone:502-243-2227
Practice Address - Fax:502-343-2237
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYBH1508259207W00000X
KY25038207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64250384Medicaid
KY180035996OtherMEDICARE RAILROAD
KY1177630003OtherMEDICARE DME MAC
KY1177630003OtherMEDICARE DME MAC