Healthcare Provider Details

I. General information

NPI: 1326040452
Provider Name (Legal Business Name): KAREN HENARD CARTER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN SUE HENARD D.C.

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 05/13/2020
Certification Date: 05/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4566 E HIGHWAY 20 STE 205
NICEVILLE FL
32578-8839
US

IV. Provider business mailing address

4566 E HIGHWAY 20 STE 205
NICEVILLE FL
32578-8839
US

V. Phone/Fax

Practice location:
  • Phone: 850-897-1105
  • Fax: 850-897-1108
Mailing address:
  • Phone: 850-897-1105
  • Fax: 850-897-1108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH7913
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: