Individual
MRS. DAWN RENE' CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9226 MAIN ST, STE D, LIVINGSTON, KY 40445-8743
(606) 453-3901
(606) 453-9420
Mailing address
502 S UPPER RIVER RD, LIVINGSTON, KY 40445-8743
(606) 224-7145
(606) 453-9420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007633
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100218701
—
KY
Enumeration date
08/20/2012
Last updated
06/18/2021
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