Individual
KIMBERLY E CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
614 HOWARD ST, BOONE, NC 28607-6244
(828) 262-3000
Mailing address
PO BOX 32044, BOONE, NC 28608-2044
(828) 262-3000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3562
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107566
—
NC
Enumeration date
06/09/2008
Last updated
10/28/2010
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