Individual
KIMBALL JONES CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
19002 E KINGBIRD DR, QUEEN CREEK, AZ 85142-6865
(480) 710-4841
Mailing address
19002 E KINGBIRD DR, QUEEN CREEK, AZ 85142-6865
(480) 710-4841
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224441
AZ
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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