Provider Demographics
NPI:1356653430
Name:SORGE, CARYN ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:CARYN
Middle Name:ELIZABETH
Last Name:SORGE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:740 S LIMESTON J457A
Mailing Address - Street 2:DIVISION OF PEDIATRIC HEMATOLOGY &ONCOLOGY
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:895-323-6771
Mailing Address - Fax:
Practice Address - Street 1:740 SOUTH LIMESTON J457A
Practice Address - Street 2:DIVISION OF PEDIATRIC HEMATOLOGY &ONCOLOGY
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536
Practice Address - Country:US
Practice Address - Phone:859-323-6771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2016-09-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL324672080P0207X
KY493902080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology