Provider Demographics
NPI:1164705935
Name:CARNES, DENISE LYN (PHARMD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:LYN
Last Name:CARNES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-8131
Mailing Address - Country:US
Mailing Address - Phone:502-228-3304
Mailing Address - Fax:502-228-3584
Practice Address - Street 1:5900 TIMBER RIDGE DR
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-8131
Practice Address - Country:US
Practice Address - Phone:502-228-3304
Practice Address - Fax:502-228-3584
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012292183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist