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Individual
PATRICK R CARNES
Active
Individual
PATRICK R CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67000129
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102563722
ANTHEM PTAN
IN
05
—
2832822
—
OH
01
—
67000129
LICENSE
OH
01
—
784
CERTIFICATION
—
Enumeration date
11/27/2007
Last updated
03/07/2025
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