Individual
DR. KENNETH W CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 MOUNT PELIA RD, MARTIN, TN 38237-3315
(731) 587-5353
Mailing address
PO BOX 1064, MARTIN, TN 38237-1064
(731) 587-5353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000009324
TN
Other
Enumeration date
08/25/2005
Last updated
02/15/2024
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