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Individual

DR. MITCHELL CARL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 TRILLIUM WAY, STE 302, CORBIN, KY 40701-8426
(606) 528-5000
(606) 528-5113
Mailing address
520 TECHWOOD DRIVE, SUITE 100, DANVILLE, KY 40422-8500
(859) 936-9844
(859) 238-2206

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
37722
KY
207RH0003X
Hematology & Oncology Physician
CDR.0005430
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000290035
ANTHEM BC/BS
KY
01
000000769615
BCBS TROVER
KY
01
023379600
FEDERAL BLACK LUNG
KY
01
500000606
PASSPORT
KY
01
611277847
CHA
KY
01
611277847C
HUMANA
KY
05
64062292
KY
01
7525437
AETNA
KY
01
830008709
RAILROAD MEDICARE
KY
01
87105
COVENTRYCARES OF KENTUCKY
KY
01
H61953
BLUEGRASS FAMILY HEALTH
KY
01
P01079962
RR MEDICARE TROVER
KY
Enumeration date
06/22/2005
Last updated
08/20/2025
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