Organization
EDWIN CARMOUCHE MD PLLC
Active
Organization
EDWIN CARMOUCHE MD PLLC
Active
Other names
Edwin Carmouche
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN FRANKLIN CARMOUCHE MD (MEMBER)
(502) 895-7697
Entity
Organization
Contact information
Practice address
152 CHENOWETH LN, LOUISVILLE, KY 40207-2651
(502) 895-7697
(502) 895-7698
Mailing address
152 CHENOWETH LN, LOUISVILLE, KY 40207-2651
(502) 895-7697
(502) 895-7698
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
26724
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201083940A
—
IN
05
—
64267248
—
KY
Enumeration date
08/10/2005
Last updated
02/06/2019
Update your record
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