Provider Demographics
NPI:1477811560
Name:FOLMAR, CARMEN YVETTE YOUNG (MD)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:YVETTE YOUNG
Last Name:FOLMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40743-0936
Mailing Address - Country:US
Mailing Address - Phone:606-330-7818
Mailing Address - Fax:606-330-7825
Practice Address - Street 1:4359 NEW SHEPHERDSVILLE RD
Practice Address - Street 2:SUITE 255
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-8000
Practice Address - Country:US
Practice Address - Phone:502-350-5800
Practice Address - Fax:502-350-5820
Is Sole Proprietor?:No
Enumeration Date:2012-04-26
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012017461207V00000X
KY48891207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100423410 (KOHMG)Medicaid
KYK150440 (KOHMG)Medicare PIN