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Individual

DR. JACQUELINE MARIE CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
6105 1ST FINANCIAL DR, BURLINGTON, KY 41005-7892
(859) 525-1846
(859) 647-3355
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 331-4665
(859) 331-6370

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
03600
KY
207V00000X
Obstetrics & Gynecology Physician
58.003155
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0088573
OH
05
7100262850
KY
Enumeration date
06/01/2011
Last updated
08/30/2019
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