Individual
KACI LEE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 E TAFT AVE STE 3, SAPULPA, OK 74066-5655
(918) 224-2222
Mailing address
1100 W TUCSON ST APT 1117, BROKEN ARROW, OK 74011-7279
(704) 477-4090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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