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Individual
GREGORY H. CARLSEN
Active
Individual
GREGORY H. CARLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
32606
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000306671
ANTHEM BCBS PROV. #
KY
01
—
000000476307
ANTHEM BCBS PROV. #
KY
01
—
1135712
PASSPORT HEALTH PROV. #
KY
01
—
1206474
GATEWAY HEALTH
FL
05
—
1859601
—
KY
01
—
50001834
PASSPORT HEALTH GRP #
KY
01
—
564019
STERLING HEALTH
KY
01
—
P00113978
RAILROAD MCARE #
KY
Enumeration date
09/14/2005
Last updated
11/23/2016
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