Individual
DR. MICHAEL G CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1460 BLUEGRASS AVE, LOUISVILLE, KY 40215-1272
(502) 361-8496
(502) 361-3377
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 361-8496
(502) 361-3377
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
16212
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003350
—
IN
05
—
6590070600
—
KY
Enumeration date
07/28/2005
Last updated
04/17/2013
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