Provider Demographics
NPI:1881891588
Name:CARR-JARMON, AVIS MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:AVIS
Middle Name:MICHELLE
Last Name:CARR-JARMON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:100 E LIBERTY ST
Mailing Address - Street 2:STE 800
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1428
Mailing Address - Country:US
Mailing Address - Phone:859-967-5848
Mailing Address - Fax:859-967-5473
Practice Address - Street 1:3213 SUMMIT SQUARE PL
Practice Address - Street 2:SUITE 200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2651
Practice Address - Country:US
Practice Address - Phone:859-244-1976
Practice Address - Fax:859-263-0650
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2023-07-28
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Provider Licenses
StateLicense IDTaxonomies
KY44558207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100176550Medicaid
KY7100176550Medicaid