Individual
KRISTINA CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4265 S A ST, RICHMOND, IN 47374-6049
(765) 962-8843
Mailing address
453 PARK TERRACE DR, RICHMOND, IN 47374-2869
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27049762A
IN
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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