Individual
NATHAN JAMES CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2677
(816) 404-4175
Mailing address
1374 N 59TH ST, MILWAUKEE, WI 53208-2140
(920) 265-7811
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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