NPI 1003480997
Shirley Carroll
Practice location
- Address
- 104 S Front Ave, Prestonsburg, KY 41653-1614
- Phone
- (606) 886-8572
- Fax
- (606) 886-4433
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1003480997
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 May 2021
- Record last updated
- 17 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.