Healthcare Provider Details

I. General information

NPI: 1508425844
Provider Name (Legal Business Name): ABBY CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 WABASH RD
UPTON KY
42784-9222
US

IV. Provider business mailing address

1140 WABASH RD
UPTON KY
42784-9222
US

V. Phone/Fax

Practice location:
  • Phone: 270-766-7676
  • Fax: 270-246-9774
Mailing address:
  • Phone: 270-766-7676
  • Fax: 270-246-9774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3013429
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: