Carpenter, Phoebe Kitsum

Carpenter, Phoebe Kitsum is an individual health care provider with primary practice located at 415 Byers Rd Ste 300 , Miamisburg OH 45342-3684. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Carpenter, Phoebe Kitsum can be contacted via phone (937) 866-2494.

Contact Information

Primary practice address
415 Byers Rd Ste 300 Miamisburg OH 45342-3684
Phone: (937) 866-2494
Fax: (937) 866-8494
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 23319 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COI.15443-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 23319 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X COI.15443-NP Ohio

Profile Details

NPI number 1639501489
LBN Legal business name Carpenter, Phoebe Kitsum
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2013
Last updated Nov 24th, 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 1639501489 NPPES
Ohio Other COI.15443-NP OHIO STATE LICENSE
Ohio MEDICAID 0095160 OHIO STATE LICENSE

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