Individual
KYRA LYNEE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
155198
MT
207QG0300X
Geriatric Medicine (Family Medicine) Physician
OP60927120
WA
Other
Enumeration date
05/16/2011
Last updated
06/16/2025
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