Provider Demographics
NPI:1942937198
Name:BELL, CARL D JR
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:D
Last Name:BELL
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4850 WILL SCARLET CT
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-6864
Mailing Address - Country:US
Mailing Address - Phone:606-257-7453
Mailing Address - Fax:
Practice Address - Street 1:4850 WILL SCARLET CT
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-6864
Practice Address - Country:US
Practice Address - Phone:606-257-7453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-06
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty