Individual
MARY D CARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
129 S WINTER ST, MIDWAY, KY 40347-1015
(859) 846-4445
(859) 846-4761
Mailing address
PO BOX 277, MIDWAY, KY 40347-0277
(859) 846-4445
(859) 846-4761
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3277P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78004876
—
KY
Enumeration date
08/02/2005
Last updated
06/18/2010
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