Individual
DR. DAVID R. CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 N EAGLE CREEK DR, LEXINGTON, KY 40509-1805
(859) 258-5300
(859) 258-5357
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036128090
IL
207RC0000X
Cardiovascular Disease Physician
05277
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
036128090
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
05277
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100819700
—
KY
Enumeration date
07/17/2007
Last updated
04/30/2025
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