Provider Demographics
NPI:1932598844
Name:KRIVENSKY, CHYLAIN (CPM)
Entity Type:Individual
Prefix:
First Name:CHYLAIN
Middle Name:
Last Name:KRIVENSKY
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 PEARSON DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-7118
Mailing Address - Country:US
Mailing Address - Phone:407-616-2724
Mailing Address - Fax:
Practice Address - Street 1:417 PEARSON DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7118
Practice Address - Country:US
Practice Address - Phone:407-616-2724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-15
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife