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Individual

HARRY WORTHINGTON CARLOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 MEDICAL CENTER DR STE 301, PADUCAH, KY 42003-7914
(270) 441-4343
(270) 441-4344
Mailing address
225 MEDICAL CENTER DR STE 301, PADUCAH, KY 42003-7914
(270) 441-4343
(270) 441-4344

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18644
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64186448
KY
Enumeration date
08/16/2006
Last updated
07/09/2007
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