Organization
CARPENTER PRIMARY HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ANDRE CARPENTER SR. (CHIEF OPERATING OFFICER)
(901) 463-0105
Entity
Organization
Contact information
Practice address
1251 WESLEY DR, SUITE 104, MEMPHIS, TN 38116-6442
(901) 348-6426
Mailing address
1251 WESLEY DR STE 104, MEMPHIS, TN 38116-6442
(901) 348-6426
(901) 207-5178
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6284
TN
Other
Enumeration date
01/02/2015
Last updated
08/22/2023
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