Individual
CARRIE LYNN MCCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10025 NEBO RD, NEBO, KY 42441-9745
(270) 621-0101
Mailing address
10025 NEBO RD, NEBO, KY 42441-9745
(270) 621-0101
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
6595605
KY
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1160938
KY
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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