Provider Demographics
NPI:1437880499
Name:CARMICHAEL, SHELBY ELIZABETH (DO)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:ELIZABETH
Last Name:CARMICHAEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-344-5555
Mailing Address - Fax:859-344-5552
Practice Address - Street 1:100 BLACKBURN LN
Practice Address - Street 2:
Practice Address - City:DRY RIDGE
Practice Address - State:KY
Practice Address - Zip Code:41035-8806
Practice Address - Country:US
Practice Address - Phone:859-823-5441
Practice Address - Fax:859-823-5001
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY05984207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine