Carr, Kerry B

Carr, Kerry B is an individual health care provider with primary practice located at 625 E Broadway Ave , Jackson WY 83001-8642. 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. Carr, Kerry B can be contacted via phone (307) 739-6195.

Contact Information

Primary practice address
625 E Broadway Ave Jackson WY 83001-8642
Phone: (307) 739-6195
Fax: (307) 739-7229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 16888.0735 Wyoming

Profile Details

NPI number 1285716746
LBN Legal business name Carr, Kerry B
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jan 23rd, 2021 - about 4 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 1285716746 NPPES
Wyoming MEDICAID 121883200

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