Healthcare Provider Details
I. General information
NPI: 1558792044
Provider Name (Legal Business Name): JAMIE CARTER D.C., D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/09/2013
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
811 E PARRISH AVE STE 101
OWENSBORO KY
42303-3258
US
IV. Provider business mailing address
2908 PADDOCK PL
OWENSBORO KY
42301-5113
US
V. Phone/Fax
- Phone: 270-684-1145
- Fax:
- Phone: 217-440-9198
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 038012541 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | R7602 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: