Individual
MRS. KRISTA N. CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7068 S OUTER 364, O FALLON, MO 63368-7757
(636) 240-6100
(636) 240-1182
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001633A
IN
363A00000X
Physician Assistant
Primary
2015009297
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015009297
LICENSE NO
MO
Enumeration date
05/22/2014
Last updated
10/07/2025
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