Individual
MRS. CARRIE LYNN CARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2340 KATY LN, POPLAR BLUFF, MO 63901-2300
(573) 776-7393
(573) 776-7396
Mailing address
2340 KATY LN, POPLAR BLUFF, MO 63901-2300
(573) 776-7393
(573) 776-7396
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
111753
MO
207V00000X
Obstetrics & Gynecology Physician
130703
FL
207V00000X
Obstetrics & Gynecology Physician
Q9793
TX
207VG0400X
Gynecology Physician
C168049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160037153
RAILROAD MEDICARE
MO
05
—
208567735
—
MO
Enumeration date
02/03/2006
Last updated
11/18/2024
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