Individual
CARNIE C. NULTON
Active
Individual
CARNIE C. NULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-25135
KS
207R00000X
Internal Medicine Physician
R6H89
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204894505
—
MO
01
—
38419014
BCBS
—
01
—
P00407389
RR MEDICARE PIN
KS
Enumeration date
07/14/2006
Last updated
08/15/2011
Update your record
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