Carter, Kenrese Theresa

Carter, Kenrese Theresa is an sole proprietor health care provider with primary practice located at 146 Bell Richard Ave , Fort Polk LA 71459-3513. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Carter, Kenrese Theresa can be contacted via phone (404) 397-3009.

Contact Information

Primary practice address
146 Bell Richard Ave Fort Polk LA 71459-3513
Phone: (404) 397-3009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1003423625
LBN Legal business name Carter, Kenrese Theresa
Credentials MS,CNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2020
Last updated Sep 28th, 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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