Carroll, Laura H

Carroll, Laura H is an individual health care provider with primary practice located at 103 Commonwealth Dr , Mt Sterling KY 40353-9644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Carroll, Laura H can be contacted via phone (859) 498-7716.

Contact Information

Primary practice address
103 Commonwealth Dr Mt Sterling KY 40353-9644
Phone: (859) 498-7716
Fax: (859) 497-0044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1683 Kentucky

Profile Details

NPI number 1568733095
LBN Legal business name Carroll, Laura H
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2012
Last updated Aug 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568733095 NPPES
Kentucky MEDICAID 7100193720

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