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NPI Code Detail

MEDICARE: CANDICE RAE CARPER TCM

MEDICARE: CANDICE RAE CARPER TCM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorKY

General Provider Information

NPI Number : 1922956622
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE RAE CARPER TCM
Provider Business Mailing Address
First Line : 340 MADISON PL APT 3
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-2554
Country : US
Telephone Number : 859-252-1939
Fax Number :
Provider Business Practice Location Address
First Line : 635 MAXWELTON CT
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-4012
Country : US
Telephone Number : 859-252-1939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ CANDICE RAE CARPER TCM” Practice Location

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