Individual
KELLY A CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1857 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-5158
(603) 730-7847
Mailing address
PO BOX 692, 1615 EAST MAIN STREET, CENTER CONWAY, NH 03813-0692
(603) 730-7847
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
3941M
NH
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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