Individual
PAULA M ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 RING RD, CAREFIRST, ELIZABETHTOWN, KY 42701-4900
(270) 706-1111
(270) 706-5085
Mailing address
1111 RING RD, CAREFIRST, ELIZABETHTOWN, KY 42701-4900
(270) 706-1111
(270) 706-5085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
KY23414
KY
207Q00000X
Family Medicine Physician
23414
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000529917
ANTHEM
—
01
—
23414
KY STATE MEDIAL LICENSE
KY
05
—
64234149
—
KY
Enumeration date
12/05/2006
Last updated
03/07/2023
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