Individual
STACY MARCUM CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 ROSE ST, KCH 4TH FLOOR, SUITE C400, LEXINGTON, KY 40536-7001
(859) 323-8651
(859) 323-8641
Mailing address
800 ROSE ST, KCH 4TH FLOOR, SUITE C400, LEXINGTON, KY 40536-7001
(859) 323-8651
(859) 323-8641
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2014034200
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
3009510
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201318580
—
IN
05
—
7100368710
—
KY
Enumeration date
11/20/2014
Last updated
01/05/2017
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