Carpenter, Ken J.

Carpenter, Ken J. is an individual health care provider with primary practice located at 3555 S National Ave , Springfield MO 65807-7310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Carpenter, Ken J. can be contacted via phone (417) 875-3800.

Contact Information

Primary practice address
3555 S National Ave Springfield MO 65807-7310
Phone: (417) 875-3800
Fax: (417) 875-3177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 46072-020 Wisconsin

Profile Details

NPI number 1073726964
LBN Legal business name Carpenter, Ken J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Dec 27th, 2018 - about 6 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 1073726964 NPPES
Missouri Other 2012011928 MO LICENSE
Missouri MEDICAID 204188700 MO LICENSE

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