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Contact Information

MITCHELL CARL, MD
1 TRILLIUM WAY
STE 302
CORBIN, KY40701-8426
 Phone: 606-528-5000
 Fax: 606-528-5113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MITCHELL CARL · (Male)

NPI # 1659377950
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2005
Last updated 08/20/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • CO License # CDR.0005430
  • KY License # 37722
  • KY Medicaid 64062292
  • KY Other 7525437 AETNA
  • KY Other 000000290035 ANTHEM BC/BS
  • KY Other 000000769615 BCBS TROVER
  • KY Other H61953 BLUEGRASS FAMILY HEALTH
  • KY Other 611277847 CHA
  • KY Other 611277847 CIGNA
  • KY Other 87105 COVENTRYCARES OF KENTUCKY
  • KY Other 023379600 FEDERAL BLACK LUNG
  • KY Other 611277847C HUMANA
  • KY Other 500000606 PASSPORT
  • KY Other 830008709 RAILROAD MEDICARE
  • KY Other P01079962 RR MEDICARE TROVER
Hospital affiliation(s)
  • COULEE COMMUNITY HOSPITAL - (Critical Access)
    411 FORTUYN ROAD
    GRAND COULEE, WA 99133
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
  • PROVIDENCE SACRED HEART MEDICAL CENTER - (Acute Care)
    101 WEST 8TH AVENUE
    SPOKANE, WA 99204
  • REGIONAL WEST MEDICAL CENTER - (Acute Care)
    4021 AVE B
    SCOTTSBLUFF, NE 69361
  • WHITMAN HOSPITAL AND MEDICAL CENTER - (Critical Access)
    1200 WEST FAIRVIEW
    COLFAX, WA 99111
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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