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Individual

MRS. CARRIE ANN CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA C

Contact information

Practice address
624 MAYSVILLE STREET, MT. STERLING, KY 40353-9767
(859) 497-4144
(859) 498-4137
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA676
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100043050
KY
05
PA 9500378600
KY
Enumeration date
11/27/2006
Last updated
05/07/2019
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