Individual
CAROLINE REILLY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4200
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-08032
NC
363A00000X
Physician Assistant
Primary
50.007661
OH
363A00000X
Physician Assistant
PA031457
DC
Other
Enumeration date
06/15/2018
Last updated
10/13/2023
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