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Mikyla Adrianne Carter
Prosthetics Case Management in Calumet City, Illinois
NPI 1700358892

Mikyla Adrianne Carter is a Prosthetics Case Management based in Calumet City, IL and is specialized in Prosthetics Case Management. Mikyla Adrianne Carter practices in Calumet City, IL. The NPI Number for Mikyla Adrianne Carter is 1700358892 and holds a License No. 058631052 (Illinois).

The current practice location address for Mikyla Adrianne Carter is 500 Park Ave Apt 733, Calumet City, IL and can be reached out via phone at 219-315-4906.

Location: 500 Park Ave Apt 733, Calumet City, IL, 60409-5052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700358892
Provider Name
Mikyla Adrianne Carter
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Park Ave Apt 733, Calumet City, IL, 60409-5052
Phone Number
219-315-4906
Fax Number
Provider Enumeration Date
12/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
058631052 01 GA PROSTHETIC SPECIALIST
institution
Provider Business Practice Location Address Details
Address
500 Park Ave Apt 733
City
Calumet City
State
Illinois
Zip
60409-5052
Phone Number
219-315-4906
Fax Number
person
Provider Business Mailing Address Details
Address
500 Park Ave Apt 733
City
Calumet City
State
Illinois
Zip
60409-5052
Phone Number
219-315-4906
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
058631052 (Georgia)
Definition
Definition to come...
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