Individual
KENNETH O. CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BAY PINES BLVD., BAY PINES, FL 33744
(727) 273-6828
Mailing address
235 3RD AVE N UNIT 551, ST PETERSBURG, FL 33701-3383
(704) 953-8039
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME127103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073547543
—
NC
05
—
89133JF
—
NC
05
—
T32836
—
SC
Enumeration date
07/10/2006
Last updated
08/01/2019
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