Individual
KIMBERLY CARHUATANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO PHD
Contact information
Practice address
98 ELM ST, LAWRENCEBURG, IN 47025-2048
(812) 496-8775
(812) 537-5710
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02007463A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
10/17/2023
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