Individual
KATHLEEN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CROSSROADS PL, HIGH RIDGE, MO 63049-2234
(314) 687-2724
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-4603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015042859
MO
363LF0000X
Family Nurse Practitioner
2015042859
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487195251
—
WI
Enumeration date
03/14/2017
Last updated
06/10/2021
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