Carlton, Kim Marie

Carlton, Kim Marie is an individual health care provider with primary practice located at 340 S Willard St , Cottonwood AZ 86326-4126. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Carlton, Kim Marie can be contacted via phone (928) 639-6025.

Contact Information

Primary practice address
340 S Willard St Cottonwood AZ 86326-4126
Phone: (928) 639-6025
Fax: (928) 639-5604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1856 Arizona

Profile Details

NPI number 1013092543
LBN Legal business name Carlton, Kim Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jun 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013092543 NPPES
Arizona MEDICAID 402892

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