Individual
DR. KEVIN R CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101015589
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659422749
—
MI
01
—
300F361250
BCBS OF MI GROUP
MI
01
—
CA3518
MEDICARE RR GROUP PIN / PALMETO GBA
MI
01
—
P00737290
RRMC
MI
Enumeration date
01/15/2007
Last updated
10/24/2019
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