Carter, Kevin R

Carter, Kevin R is an individual health care provider with primary practice located at 50 N Perry St , Pontiac MI 48342-2217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Carter, Kevin R can be contacted via phone (248) 338-5604.

Contact Information

Primary practice address
50 N Perry St Pontiac MI 48342-2217
Phone: (248) 338-5604
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101015589 Michigan

Profile Details

NPI number 1659422749
LBN Legal business name Carter, Kevin R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Oct 24th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659422749 NPPES
Michigan MEDICAID 1659422749
Michigan Other CA3518
Michigan Other 300F361250
Michigan Other P00737290

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