Individual
CHAD E CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
184 S MAYO TRL, PIKEVILLE, KY 41501-1518
(606) 218-4800
(606) 218-4810
Mailing address
PO BOX 2917, PIKEVILLE, KY 41502-2917
(606) 218-4800
(606) 218-4810
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
03722
KY
207Q00000X
Family Medicine Physician
Primary
03722
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2012
Last updated
05/21/2015
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