# DR. KEREAH CARPENTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538380605
- **Gender:** F
- **Credential:** D.C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 27 2818 | OR | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 116900 | — | OR |
| 01 | — | 27 2818 | CHIROPRACTIC PHYSICIAN | OR |