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Individual

MISS BARBARA BOURKE CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2740P
KY
363L00000X
Nurse Practitioner
3002740
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3002740
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000360855
ANTHEM PROVIDER NO.
KY
05
200507470
IN
01
50006767
PASPORT PROVIDER NO.
KY
05
78013638
KY
Enumeration date
05/16/2006
Last updated
11/21/2023
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