Individual
ALICIA T CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
324 SOUTHVIEW DR, NICHOLASVILLE, KY 40356-2008
(859) 253-1686
(859) 254-2743
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1217
(859) 253-1686
(859) 254-2743
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02631
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100131950
—
KY
Enumeration date
01/08/2007
Last updated
05/01/2024
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