Individual provider · NPI-1
Kimberly Nicole Carpenter, Case Manager
Case Manager/Care Coordinator · Lansing, MI
NPI number1043088008
StatusActive
Last updated in NPPESDec 19, 2023
Details
- NPI
- 1043088008
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Nicole Carpenter
- Credential
- Case Manager
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2023
- Certification date
- Dec 19, 2023
- Last updated
- Dec 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
913 W Holmes Rd Ste 200Lansing, MI 48910-0411
Phone 517-887-0226 · Fax 517-887-8121
Mailing address
11034 Easton RdRives Junction, MI 49277-9744
Phone 479-866-9250
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