Individual provider · NPI-1

Kaitlyn Karin Carter

Specialist/Technologist, Athletic Trainer · Bronx, NY

NPI number1992470686
StatusActive
Last updated in NPPESAug 13, 2021

Details

NPI
1992470686
Entity type
Individual (NPI-1)
Name
Kaitlyn Karin Carter
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 13, 2021
Certification date
Aug 13, 2021
Last updated
Aug 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

441 E Fordham Rd
Bronx, NY 10458-5149

Phone 805-404-4209

Mailing address

918 El Monte Dr
Simi Valley, CA 93065-4222

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