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MICHAEL W CARTER PA
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1922006212
Individual Registrant: MICHAEL W CARTER PA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
200 CARROLL ST ST PAUL, KS 66771-4044 US
Tel: 620-449-2582 Fax: 620-449-2587
Tel: 620-449-2582 Fax: 620-449-2587
Contact information for business:
200 CARROLL ST ST PAUL, KS 66771-4044 US
Tel: 620-449-2582 Fax: 620-449-2587
Tel: 620-449-2582 Fax: 620-449-2587
Registration Information:
NPI: 1922006212
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | KS | 15-00512 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS | 42591 | KS | 01 |
| 100362330B | KS | 05 |
