Individual
LONNIE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 CARTER AVE, ASHLAND, KY 41101-7734
(606) 325-1338
Mailing address
718 CHESTNUT ST, KENOVA, WV 25530-1511
(304) 521-8700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPINP00223978
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100208710
—
KY
Enumeration date
01/26/2016
Last updated
01/26/2016
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