Healthcare Provider Details

I. General information

NPI: 1720902521
Provider Name (Legal Business Name): KAREN O CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 N MAIN ST STE 687
RICHFIELD UT
84701-1895
US

IV. Provider business mailing address

2246 N SR 118
MONROE UT
84754-3506
US

V. Phone/Fax

Practice location:
  • Phone: 435-274-7080
  • Fax:
Mailing address:
  • Phone: 801-368-6926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number191140-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: