Individual
DENISE L CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8402 HARCOURT RD, SUITE 100, INDIANAPOLIS, IN 46260-2074
(317) 338-7674
(317) 338-7673
Mailing address
8402 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260-2006
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
01053291A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200293310
—
IN
Enumeration date
09/20/2006
Last updated
06/07/2022
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