Individual
KENDAL R. CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1739 N 4TH ST, TERRE HAUTE, IN 47804-4002
(812) 242-3125
Mailing address
1739 N 4TH ST, TERRE HAUTE, IN 47804-4002
(812) 242-3125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
03/11/2021
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