Kenneth Carter in Jackson - Specialist

Kenneth Carter - NPI 1033207543

Kenneth Carter is a Specialist in Jackson, Mississippi. Kenneth Carter practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kenneth Carter is 1033207543. The last update date is 2007-07-08.

Kenneth Carter's current location address is 1405 North State Street, Jackson, Mississippi. You can contact this provider via phone number 6013544327 and fax number 6013600822. The mailing address for Kenneth Carter is 1405 North State Street, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Carter
Address 1405 North State Street, Jackson, Mississippi
Phone Number 6013544327
Fax Number 6013600822
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1033207543
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1405 North State Street
City Jackson
State Mississippi (MS)
Post Code 39202
Phone Number 6013544327
Fax Number 6013600822

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 6900
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
115577 MS --

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FAQs about Kenneth Carter

What is the unique identification code assigned to Kenneth Carter by the Centers for Medicare & Medicaid Services?

The Kenneth Carter has been issued the NPI (National Provider Identifier) 1033207543. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kenneth Carter's physical address?

The Kenneth Carter is physically located at 1405 North State Street, in the city of Jackson, MS, with the postal code 39202.

What is Kenneth Carter's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth Carter is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1033207543 to Kenneth Carter?

The Centers for Medicare & Medicaid Services assigned the 1033207543 to Kenneth Carter on 2006-10-10.

As of what date were the details pertaining to Kenneth Carter last refreshed?

The information related to the Kenneth Carter, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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