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Contact Information

MICHAEL G CARROLL, MD
1460 BLUEGRASS AVE
LOUISVILLE, KY40215-1272
 Phone: 502-361-8496
 Fax: 502-361-3377
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL G CARROLL · (Male)

NPI Number 1609876978
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2005
Last updated 04/17/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 16212
  • IN Medicaid 100003350
  • KY Medicaid 6590070600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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