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CARRILEA REED NETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4915 NORTON HEALTHCARE BLVD STE 203, LOUISVILLE, KY 40241-2861
(502) 423-9595
(502) 719-0161
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5395
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
38809
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000724267
ANTHEM - WS
KY
01
000057120M
HUMANA - WS
KY
01
1147806
CIGNA-WS
KY
01
127026
SIHO - WS
KY
05
201040580
IN
01
50005048
PASSPORT
KY
01
50034481
PASSPORT - WS
KY
01
5581
MEDICARE GRP
KY
05
64083835
KY
01
65925109
MEDICAID GRP
KY
05
NE64083835
KY
Enumeration date
09/07/2005
Last updated
09/16/2021
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