Individual
CHARLOTTE ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2440
(859) 301-2493
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60889
KY
207Q00000X
Family Medicine Physician
LL87902
SC
Other
Enumeration date
03/31/2022
Last updated
07/01/2025
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