Individual
RICHARD CARMICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0293
(859) 323-5956
Mailing address
291 SOUTHHALL LN, MAITLAND, FL 32751-7274
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3014550
KY
367500000X
Certified Registered Nurse Anesthetist
ARNP9396405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
02/16/2015
Last updated
05/06/2020
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