Individual
KIMBERLY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2432 GENESYS PKWY, GRAND BLANC, MI 48439-8069
(810) 606-6499
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-6499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704244883
MI
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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