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NPI Code Detail

MEDICARE: DR. KIMBERLY BETH CARPENTER D.C.

MEDICARE: DR. KIMBERLY BETH CARPENTER D.C.
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
1111N00000XChiropractor4854KY

General Provider Information

NPI Number : 1982646873
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY BETH CARPENTER D.C.
Provider Business Mailing Address
First Line : 161 SAINT MATTHEWS AVE STE 13
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-3145
Country : US
Telephone Number : 502-454-3500
Fax Number : 502-454-3015
Provider Business Practice Location Address
First Line : 161 SAINT MATTHEWS AVE STE 13
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-3145
Country : US
Telephone Number : 502-454-3500
Fax Number : 502-454-3015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 06/22/2011

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