Individual
KATELYN MARIE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1567 REGENT AVE, SPRINGFIELD, OH 45503-5967
(937) 631-3718
Mailing address
1531 REGENT AVE, SPRINGFIELD, OH 45503-5966
(937) 631-3718
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
06/09/2024
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