Carter, Kelly Duane

Carter, Kelly Duane is an individual health care provider with primary practice located at 619 N Cove Blvd , Panama City FL 32401-3642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Carter, Kelly Duane can be contacted via phone (850) 804-3870.

Contact Information

Primary practice address
619 N Cove Blvd Panama City FL 32401-3642
Phone: (850) 804-3870
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C54560 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME149464 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20711 Alabama

Profile Details

NPI number 1124123195
LBN Legal business name Carter, Kelly Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Sep 2nd, 2021 - about 3 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 1124123195 NPPES
Alabama MEDICAID 000035556
Alabama MEDICAID C54560
Alabama Other 35556

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