Individual
KIMBERLY ANN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15215 S 48TH ST STE 161, PHOENIX, AZ 85044-9139
(602) 633-4493
(602) 716-9656
Mailing address
3020 E CAMELBACK RD STE 301, PHOENIX, AZ 85016-4418
(602) 261-9100
(602) 264-9101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4719
AZ
363AM0700X
Medical Physician Assistant
MA055465
PA
Other
Enumeration date
09/17/2010
Last updated
03/05/2021
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