Carpenter, Kelly Bergeron

Carpenter, Kelly Bergeron is an individual health care provider with primary practice located at 612 Mocksville Ave , Salisbury NC 28144-2732. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Carpenter, Kelly Bergeron can be contacted via phone (704) 210-5260.

Contact Information

Primary practice address
612 Mocksville Ave Salisbury NC 28144-2732
Phone: (704) 210-5260
Fax: (704) 210-5265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5002933 North Carolina

Profile Details

NPI number 1760507958
LBN Legal business name Carpenter, Kelly Bergeron
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated May 29th, 2024 - about 7 months 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 1760507958 NPPES
North Carolina MEDICAID 1760507958
North Carolina Other 182E4
North Carolina Other NCE536B
North Carolina Other P02479422

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