Carpenter, Kevin Michael

Carpenter, Kevin Michael is an individual health care provider with primary practice located at 202 10Th Street Se , Cedar Rapids IA 52403-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Carpenter, Kevin Michael can be contacted via phone (319) 399-2022.

Contact Information

Primary practice address
202 10Th Street Se Cedar Rapids IA 52403-2404
Phone: (319) 399-2022
Fax: (319) 399-2014
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 28759 Iowa

Profile Details

NPI number 1629028956
LBN Legal business name Carpenter, Kevin Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Sep 11th, 2013 - about 12 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 1629028956 NPPES
Iowa Other 22504 BLUE CROSS/BLUE SHIELD
Iowa MEDICAID 0219329 BLUE CROSS/BLUE SHIELD

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