Individual
KEVIN A CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2633 COMMONS BLVD STE 110, BEAVERCREEK, OH 45431-3827
(937) 705-6747
(937) 705-6713
Mailing address
2912 SPRINGBORO W STE 201, MORAINE, OH 45439-1674
(937) 297-8999
(937) 297-4852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34.011205
OH
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
34011205
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101552
—
OH
01
—
H300830
MEDICARE
OH
Enumeration date
09/28/2006
Last updated
12/19/2024
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