Carter, Kenneth
Carter, Kenneth is an individual health care provider with primary practice located at 1405 N State St Suite 200, Jackson MS 39202-1642. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Carter, Kenneth can be contacted via phone (601) 354-4327.Contact Information
Primary practice address
1405 N State St Suite 200
Jackson MS 39202-1642
Phone: (601) 354-4327
Fax: (601) 360-0822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 06900 | Mississippi |
Profile Details
| NPI number | 1033207543 |
|---|---|
| LBN Legal business name | Carter, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033207543 | NPPES |
| Mississippi | MEDICAID | 0115577 |
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