Individual
KRYSTINE DIANE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
265 E LEHIGH AVE, PHILADELPHIA, PA 19125-1013
(215) 203-5400
Mailing address
265 E LEHIGH AVE, PHILADELPHIA, PA 19125-1013
(215) 203-5400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MT198021
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD455089
PA
Other
Enumeration date
10/26/2010
Last updated
03/31/2016
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