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Contact Information

CAROLYN HERBERT
304 TEACO RD
KENNETT, MO63857-3266
 Phone: 573-888-0001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CAROLYN HERBERT · (Female)

NPI # 1386315778
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2021
Last updated 12/30/2025 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 217516
  • MO License # 2021038571
  • TN License # 33060
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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