Individual
MR. ROBERT LEE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N., MASSAGE TPST.
Contact information
Practice address
610 ATTLA WAY, SUITE 10, KENAI, AK 99611-7736
(907) 598-4263
Mailing address
610 ATTLA WAY, SUITE 10, KENAI, AK 99611-7736
(907) 598-4263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28163
AK
163WM1400X
Nurse Massage Therapist (NMT)
Primary
28163
AK
Other
Enumeration date
07/19/2012
Last updated
10/23/2012
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