Peddicord, Carol B
Peddicord, Carol B is an sole proprietor health care provider with primary practice located at 250 Burkesville Rd , Albany KY 42602-1604. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Peddicord, Carol B can be contacted via phone (606) 387-0323.Contact Information
Primary practice address
250 Burkesville Rd
Albany KY 42602-1604
Phone: (606) 387-0323
Fax: (606) 387-0310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25961 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25961 | Kentucky |
Profile Details
| NPI number | 1912990607 |
|---|---|
| LBN Legal business name | Peddicord, Carol B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Sep 1st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912990607 | NPPES |
| Kentucky | MEDICAID | 64259617 |
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