Individual
DR. CARLTON ALEXANDER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1625 NASHVILLE ST, RUSSELLVILLE, KY 42276-8853
(270) 725-4770
Mailing address
1625 NASHVILLE ST, RUSSELLVILLE, KY 42276-8853
(270) 725-4770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
03889
KY
207Q00000X
Family Medicine Physician
Primary
03889
KY
207Q00000X
Family Medicine Physician
R3258
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03889
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
06/26/2014
Last updated
03/07/2023
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