Individual
MICHELLE R CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
225 HOSPITAL DR., SUITE 200, WINCHESTER, KY 40391
(859) 737-6480
(859) 737-6641
Mailing address
225 HOSPITAL DR., THE CLARK CLINIC SUITE 200, WINCHESTER, KY 40391
(859) 737-6480
(859) 737-6641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03027
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100014090
—
KY
Enumeration date
08/11/2006
Last updated
09/19/2012
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