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NPI Code Detail

MEDICARE: KIMBERLY R T CARTER NP

MEDICARE: KIMBERLY R T CARTER NP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024168013VA
2363LF0000XFamily Nurse Practitioner0024168013VA

General Provider Information

NPI Number : 1932443736
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY R T CARTER NP
Provider Business Mailing Address
First Line : 1414 SACHEM PL STE 1
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-2560
Country : US
Telephone Number : 434-218-0405
Fax Number : 434-296-1195
Provider Business Practice Location Address
First Line : 1414 SACHEM PL STE 1
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-2560
Country : US
Telephone Number : 434-218-0405
Fax Number : 434-296-1195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2012
Last Update Date : 08/12/2025

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