Individual
ELLEN CATHERINE CARPENTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2404 SW WINTERBOND CT, LEES SUMMIT, MO 64081-4090
(816) 525-3448
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
149899
MO
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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