Individual
KELSEY JO CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 ENTERPRISE PKWY STE 250, BEACHWOOD, OH 44122-7343
(888) 364-5977
Mailing address
3401 ENTERPRISE PKWY STE 250, BEACHWOOD, OH 44122-7343
(888) 364-5977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004970RX
OH
Other
Enumeration date
02/10/2017
Last updated
04/05/2022
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