person
Kevin W Carroll, MD
Diagnostic Radiology Physician in Charlotte, North Carolina
NPI 1265470421

Kevin W Carroll is a Diagnostic Radiology Physician based in Charlotte, NC and is specialized in Diagnostic Radiology. Kevin W Carroll practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Kevin W Carroll is 1265470421 and holds a License No. 35085 (North Carolina).

The current practice location address for Kevin W Carroll is 3623 Latrobe Drive, Charlotte, NC and can be reached out via phone at 704-332-1291 and via fax at 704-332-5206.

Location: 3623 Latrobe Drive, Charlotte, NC, 28222-1249
person
Provider Profile Details
NPI Number
1265470421
Provider Name
Kevin W Carroll
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3623 Latrobe Drive, Charlotte, NC, 28222-1249
Phone Number
704-332-1291
Fax Number
704-332-5206
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7444122 01 AETNA PPO
Q35085 05 SC
ME80038 01 FL FLORIDA LICENSE
2381250 01 AETNA HMO
35085 01 NC NC LICENSE
259310600 05 FL
35604 01 BCBS
institution
Provider Business Practice Location Address Details
Address
3623 Latrobe Drive
City
State
Zip
28211
Phone Number
704-332-1291
Fax Number
704-332-5206
person
Provider Business Mailing Address Details
Address
3623 Latrobe Drive
City
State
Zip
28211
Phone Number
704-332-1291
Fax Number
704-332-5206
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
35085 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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