Individual
ELISEO ANTONIO COLON-CARRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 HARRODSBURG RD STE A300, LEXINGTON, KY 40504-3787
(859) 276-4429
(859) 276-6961
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7840
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0085691
FL
207RP1001X
Pulmonary Disease Physician
0085691
FL
207RP1001X
Pulmonary Disease Physician
Primary
44027
KY
207RP1001X
Pulmonary Disease Physician
TP461
KY
Other
Enumeration date
08/15/2005
Last updated
06/26/2019
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