Individual
CHRISTOPHER KEITH CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3214 KETHLEY RD, SHAWNEE, OK 74804-9625
(405) 273-5801
(405) 878-3814
Mailing address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(405) 273-5801
(405) 878-3814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71765
OK
Other
Enumeration date
07/06/2011
Last updated
08/29/2012
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