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Individual
CARTER ETHAN KENTON
Active
Individual
CARTER ETHAN KENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
363AS0400X
Surgical Physician Assistant
Primary
C5-0012413
DE
Other
Enumeration date
01/18/2022
Last updated
01/26/2026
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