Most Relevant Information
Provider Data
| NPI Number: | 1003509761 |
| Provider Name: | ABIGAIL ELIZABETH CARLISLE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/30/2023 |
| Last Updated: | 06/05/2023 |
Provider Practice Location
914 N DIXIE AVE
ELIZABETHTOWN
KY
427012520
Practice Location Phone/Fax
| Phone: | 2702662391 |
| Fax: |
Provider Mailing Location
914 N DIXIE AVE
ELIZABETHTOWN
KY
427012520
Provider Mailing Phone/Fax
| Phone: | 2702662391 |
| Fax: |