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Contact Information

KEVIN CARPENTER
5600 NE ANTIOCH RD
SUITE 214
GLADSTONE, MO64119
 Phone: 816-659-1478
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KEVIN CARPENTER · (Male)

NPI Number 1134664857
Status Active
Credentials
Entity Individual
Enumeration date 01/04/2017
Last updated 11/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2019012713
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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