# CAROL B PEDDICORD MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760874713
- **Authorized official:** CAROL PEDDICORD M.D. (OWNER)
- **Authorized official phone:** (606) 688-4470

## Contact information

- **Practice address:** 250 BURKESVILLE RD, ALBANY, KY 42602-1604
- **Practice address phone:** (606) 387-0323
- **Practice address fax:** (606) 387-0310
- **Mailing address:** 250 BURKESVILLE RD, ALBANY, KY 42602-1604
- **Mailing address phone:** (606) 387-0323
- **Mailing address fax:** (606) 387-0310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25961 | KY | Yes |

## Other

- **Enumeration date:** 02/28/2015
- **Last updated:** 09/01/2022