Healthcare Provider Details

I. General information

NPI: 1750858213
Provider Name (Legal Business Name): CARMEN COX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARMEN LAUREN ENZWEILER PA-C

II. Dates (important events)

Enumeration Date: 11/01/2018
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

15220 CARLI CT
CRITTENDEN KY
41030-8493
US

V. Phone/Fax

Practice location:
  • Phone: 859-609-2915
  • Fax:
Mailing address:
  • Phone: 859-609-2915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.009965RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: