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
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