Individual
DR. KENNY BERTLYN CARTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8380 WARREN PKWY, SUITE 504, FRISCO, TX 75034-4198
(972) 596-4005
(972) 985-1253
Mailing address
8380 WARREN PKWY, SUITE 504, FRISCO, TX 75034-4198
(972) 596-4005
(972) 985-1253
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
N9178
TX
Other
Enumeration date
10/05/2006
Last updated
06/09/2011
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