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Kristine Ross Carpenter, MD
Student in an Organized Health Care Education/Training Program in Mattoon, Illinois
NPI 1215198189

Kristine Ross Carpenter is a Student in an Organized Health Care Education/Training Program based in Urbana, IL. Kristine Ross Carpenter practices in Mattoon, IL and has the professional credentials of MD. The NPI Number for Kristine Ross Carpenter is 1215198189 and holds a License No. 036127366 (Illinois).

The current practice location address for Kristine Ross Carpenter is 2512 Hurst Dr., Mattoon, IL and can be reached out via phone at 217-258-5900 and via fax at 217-258-3686.

Location: 2512 Hurst Dr., Mattoon, IL, 61801-2500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215198189
Provider Name
Kristine Ross Carpenter
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2512 Hurst Dr., Mattoon, IL, 61801-2500
Phone Number
217-258-5900
Fax Number
217-258-3686
Provider Enumeration Date
06/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2512 Hurst Dr.
City
Mattoon
State
Illinois
Zip
61938
Phone Number
217-258-5900
Fax Number
217-258-3686
person
Provider Business Mailing Address Details
Address
2512 Hurst Dr.
City
Mattoon
State
Illinois
Zip
61938
Phone Number
217-258-5900
Fax Number
217-258-3686
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
149531 (North Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036127366 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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