KENNETH CARTER (NPI# 1033207543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033207543 |
| Entity Type | Individual |
| Full Name | KENNETH CARTER |
| Credential | M.D. |
| Practice Address |
1405 N State St Suite 200 Jackson MS 39202-1642 |
| Mailing Address |
1405 North State Street Suite 200 Jackson MS 39202 |
| Practice Telephone | 6013544327 |
| Practice Fax Number | 6013600822 |
| Mailing Telephone | 6013544327 |
| Mailing Fax Number | 6013600822 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 06900 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0115577 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180137 | Kenneth Carter Sr. | Driver | 7059 Crewe Rd, Hayes, VA 23072-3316 | 2017-08-16 |
| 1073547543 | Kenneth O. Carter | Psychiatry & Neurology | 1000 Bay Pines Blvd., Bay Pines, FL 33744 | 2006-07-10 |
| 1194773408 | Kenneth Charles Carter | Emergency Medicine | 1725 Tarboro St Sw, Wilson, NC 27893-3428 | 2006-05-05 |
| 1760039242 | Kenneth Michael Carter | Physical Therapist | 410 N Hurstbourne Pkwy Ste 104, Louisville, KY 40222-5360 | 2019-08-20 |
| 1932544624 | Kenneth Carter | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2013-05-08 |
| 1740256551 | Kenneth R Carter | Family Medicine | 295 10th Ave, Granite Falls, MN 56241-1456 | 2006-02-23 |
| 1912901331 | Kenneth B Carter | Specialist | 2201 Murphy Ave, Ste 411, Nashville, TN 37203-1888 | 2005-06-13 |
| Street Address |
1405 N STATE ST SUITE 200 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447249354 | Gastrointestinal Endoscopy Center | Internal Medicine | 1405 N State St, Suite 300, Jackson, MS 39202-1642 | 2005-10-14 |
| 1861547317 | Gregory Lee Thalken | Radiology | 1405 N State St, Suite 200, Jackson, MS 39202-1642 | 2007-01-24 |
| 1144333246 | A Wayne Britt | Specialist | 1405 N State St, Suite 200, Jackson, MS 39202-1642 | 2006-08-16 |
| 1730292715 | William Studdard | Specialist | 1405 N State St, Suite 200, Jackson, MS 39202-1642 | 2006-08-16 |
| 1962515619 | James L Burkhalter | Specialist | 1405 N State St, Suite200, Jackson, MS 39202-1642 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1396271565 | Karlisha Britton | Specialist | 7 Lakeland Circle, Suite 300, Jackson, MS 39216 | 2017-05-10 |
| 1922545896 | Paul Edward Ruttle | Specialist | 2640 Trader Rd, Jackson, WY 83001-8321 | 2017-01-30 |
| 1780121483 | Andrew Callis | Specialist | 5303 Old Cape Rd E, Jackson, MO 63755-3850 | 2017-01-19 |
| 1538617055 | Jonathan Parker | Specialist | 95 Riverport Dr, Jackson, TN 38301-5748 | 2016-09-13 |
| 1386096600 | Miriam Bick | Specialist | 4 Florida Pl, Jackson, NJ 08527-1816 | 2016-07-11 |
| 1326429572 | Alonzo Roberts | Specialist | 6110 Highway 18 W, Jackson, MS 39209-9322 | 2015-06-13 |
| 1407289275 | Andrew Francis Charland | Specialist | N168w22224 Main St Ste E, Jackson, WI 53037-9321 | 2013-08-15 |
| 1265872501 | Robyn Abbott Roberts | Specialist | 1904 Lakeland Dr, Suite D, Jackson, MS 39216-5038 | 2013-07-01 |
| 1053754580 | Massage Revolution | Specialist | 210 E Capitol St, Ste M-142, Jackson, MS 39201-2306 | 2013-04-15 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on KENNETH CARTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.