Provider Demographics
NPI:1386610095
Name:HINTON, CARL B (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:B
Last Name:HINTON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 418
Mailing Address - Street 2:323 S JEFFERSON ST
Mailing Address - City:PRINCETON
Mailing Address - State:KY
Mailing Address - Zip Code:42445-0418
Mailing Address - Country:US
Mailing Address - Phone:270-365-9993
Mailing Address - Fax:270-365-0533
Practice Address - Street 1:323 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:KY
Practice Address - Zip Code:42445-2100
Practice Address - Country:US
Practice Address - Phone:270-365-9993
Practice Address - Fax:270-365-0533
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31827208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP00109972OtherRAILROAD MEDICARE
KY64318272Medicaid
KY000000334665OtherBLUE CROSS BLUE SHIELD
KY0920601Medicare ID - Type Unspecified
KYP00109972OtherRAILROAD MEDICARE