Carpenter, Kelly
Carpenter, Kelly is an sole proprietor health care provider with primary practice located at 10401 W Thunderbird Blvd , Sun City AZ 85351-3004. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Carpenter, Kelly can be contacted via phone (623) 876-5455.Contact Information
Primary practice address
10401 W Thunderbird Blvd
Sun City AZ 85351-3004
Phone: (623) 876-5455
Fax: (623) 876-6687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1144213000 |
|---|---|
| LBN Legal business name | Carpenter, Kelly |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2005 |
| Last updated | May 5th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144213000 | NPPES |
| Arizona | MEDICAID | 863763 |
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