Provider Demographics
NPI:1235243288
Name:HULSEY, CAROL (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:
Last Name:HULSEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7045 MASONVILLE HABIT RD
Mailing Address - Street 2:
Mailing Address - City:PHILPOT
Mailing Address - State:KY
Mailing Address - Zip Code:42366-9105
Mailing Address - Country:US
Mailing Address - Phone:270-729-2114
Mailing Address - Fax:
Practice Address - Street 1:1123 SCHERM RD
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-6052
Practice Address - Country:US
Practice Address - Phone:270-683-1635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY56181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice