Individual
CHARLES BENJAMIN PALMER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10200 FOREST GREEN BLVD STE 112, LOUISVILLE, KY 40223-5167
(877) 866-7123
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5052
(502) 629-6217
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2011-00750
NC
207V00000X
Obstetrics & Gynecology Physician
OS018028
PA
207VX0201X
Gynecologic Oncology Physician
Primary
04495
KY
Other
Enumeration date
06/14/2007
Last updated
09/15/2025
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