Individual
KATHLEEN ROSE MARKS CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 327-3540
Mailing address
2105 N HIGHWAY A1A, INDIALANTIC, FL 32903-2512
(678) 815-4348
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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