Individual
DR. KEITH BAXTER CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, SUITE 304, LOUISVILLE, KY 40202-1846
(502) 585-1200
(502) 585-1207
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 585-1200
(502) 585-1207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24559
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051842
ANTHEM
KY
01
—
100349310A
INDIANA MEDICAID
KY
01
—
1049358
PASSPORT
KY
01
—
110170684
RAILROAD MEDICARE
KY
05
—
64245590
—
KY
01
—
K022721
KY MEDICARE
KY
01
—
K022721-KOHMG
KY MEDICARE
KY
Enumeration date
08/19/2005
Last updated
01/23/2019
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