Healthcare Provider Details

I. General information

NPI: 1184365736
Provider Name (Legal Business Name): CAROLYN DEL CHIARO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 SOUTHPOINT DR
LEXINGTON KY
40515-6350
US

IV. Provider business mailing address

1221 S BROADWAY
LEXINGTON KY
40504-2701
US

V. Phone/Fax

Practice location:
  • Phone: 859-272-1928
  • Fax: 859-271-9601
Mailing address:
  • Phone: 859-258-6200
  • Fax: 859-258-6203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number61442
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: