Individual
DR. EDWIN F CARMOUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
152 CHENOWETH LN, LOUISVILLE, KY 40207-2651
(502) 895-7697
(502) 895-7698
Mailing address
152 CHENOWETH LN, LOUISVILLE, KY 40207-2651
(502) 895-7697
(502) 895-7698
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
26724
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305334
ANTHEM
KY
05
—
64267248
—
KY
Enumeration date
10/11/2007
Last updated
02/06/2019
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