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Individual

PHILIP JOHN CAROLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
935 CHAMBERS BLVD UNIT D, BARDSTOWN, KY 40004-2575
(844) 692-3338
(502) 331-6309
Mailing address
4612 OUTER LOOP, LOUISVILLE, KY 40219-3971
(502) 804-4811

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
07001370A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
269144
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07001370A
MEDICAL LICENSE
IN
01
269144
MEDICAL LICENSE
KY
Enumeration date
04/04/2018
Last updated
07/14/2021
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