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MICHAEL W CARTER PA

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1922006212

Individual Registrant:
 MICHAEL W CARTER PA
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

Contact information for business:
200 CARROLL ST  ST PAUL, KS 66771-4044 US
Tel: 620-449-2582  Fax: 620-449-2587

Registration Information:
NPI: 1922006212
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
KS15-00512

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS42591KS01
100362330BKS05




HEALTH CARE JOBS KS - Page 1



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