NPI 1033207543

Kenneth Carter, MD

Practitioner Specialist Jackson, MS

Practice location

Address: 1405 N State St Suite 200, Jackson, MS 39202-1642
Phone: (601) 354-4327
Fax: (601) 360-0822
Mailing address: 1405 North State Street Suite 200, Jackson, MS 39202

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 06900 (MS)

Other Specialist providers in Mississippi →

Registry record

NPI: 1033207543
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.