Individual
KENT CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 LAUREL ST, SUITE 3140, DES MOINES, IA 50314-3017
(515) 643-8790
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-8790
(515) 643-8866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34657
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1273011
—
IA
Enumeration date
08/30/2006
Last updated
04/07/2009
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