Individual
KRISTY L CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1434 CHESTER BLVD, RICHMOND, IN 47374-1947
(765) 966-1600
(765) 962-9641
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 966-1600
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.005531RX
OH
363AS0400X
Surgical Physician Assistant
Primary
10001055A
IN
Other
Enumeration date
01/12/2009
Last updated
05/12/2021
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