Individual
KARA L CARUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
910 MADISON AVE 9TH FLOOR, MEMPHIS, TN 38163-1932
(901) 448-5630
Mailing address
1407 UNION AVE STE 700, MEMPHIS, TN 38104-3641
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA.685
AL
363A00000X
Physician Assistant
Primary
3531
TN
363A00000X
Physician Assistant
PA.685
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730411018
TRICARE SOUTH
AL
05
—
1730411018
—
MO
01
—
511-03467
BCBS
AL
05
—
Q035911
—
TN
01
—
Z10431
VIVA HEALTH
AL
Enumeration date
02/11/2010
Last updated
10/08/2018
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