Individual
KAYLAN VAUGHN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33464 SCHOENHERR RD, STERLING HEIGHTS, MI 48312-6314
(586) 275-2478
Mailing address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025-2454
(248) 712-4266
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
MI
Enumeration date
10/26/2020
Last updated
10/27/2020
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