Carter, Kenneth O.

Carter, Kenneth O. is an individual health care provider with primary practice located at 1000 Bay Pines Blvd. , Bay Pines FL 33744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Carter, Kenneth O. can be contacted via phone (727) 273-6828.

Contact Information

Primary practice address
1000 Bay Pines Blvd. Bay Pines FL 33744
Phone: (727) 273-6828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME127103 Florida

Profile Details

NPI number 1073547543
LBN Legal business name Carter, Kenneth O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 1st, 2019 - about 6 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 1073547543 NPPES
South Carolina MEDICAID T32836
South Carolina MEDICAID 1073547543
South Carolina MEDICAID 89133JF

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