Provider Demographics
NPI:1912584822
Name:CARSWELL, MARTHA CAITLIN (PA-C)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:CAITLIN
Last Name:CARSWELL
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:431 HAMPTON WAY
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351
Mailing Address - Country:US
Mailing Address - Phone:606-783-6400
Mailing Address - Fax:
Practice Address - Street 1:431 HAMTON WAY
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-8851
Practice Address - Country:US
Practice Address - Phone:606-783-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant