Individual
CARLOS ENRIQUE KUMMERFELDT FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5835
(270) 659-5856
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5835
(270) 659-5856
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
46647
KY
207RP1001X
Pulmonary Disease Physician
Primary
46647
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100301010
—
KY
Enumeration date
06/23/2008
Last updated
04/20/2021
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