Individual
LAURA H CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
103 COMMONWEALTH DR, MT STERLING, KY 40353-9644
(859) 498-7716
(859) 497-0044
Mailing address
236 W MAIN ST, MT STERLING, KY 40353-1348
(859) 498-8160
(859) 274-4312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1683
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100193720
—
KY
Enumeration date
01/13/2012
Last updated
08/13/2019
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