Kevin Carpenter, | |
5600 Ne Antioch Rd, Suite 214, Gladstone, MO 64119 | |
(816) 659-1478 | |
Not Available |
Full Name | Kevin Carpenter |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 5600 Ne Antioch Rd, Gladstone, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134664857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2019012713 (Missouri) | Primary |
Entity Name | State Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477873 PECOS PAC ID: 1456254226 Enrollment ID: O20040129000481 |
Mailing Address | Practice Location Address |
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Kevin Carpenter, 22 Gates Dr, Platte City, MO 64079-9656 Ph: (805) 657-5427 | Kevin Carpenter, 5600 Ne Antioch Rd, Suite 214, Gladstone, MO 64119 Ph: (816) 659-1478 |
Dr. Kevin Bertrand Murch, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6812 N Oak Trfy, Suite 1, Gladstone, MO 64118 Phone: 816-436-0371 Fax: 816-436-0383 | |
Stephen A. Daily, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Ne 72nd Street, Gladstone, MO 64118 Phone: 816-333-0606 | |
Dr. Douglass Eugene Martin, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4013 Ne 57th Pl, Gladstone, MO 64119 Phone: 816-536-1828 Fax: 816-413-5305 | |
Jonathan Emmons, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7001 N Locust St # A117, Gladstone, MO 64118 Phone: 816-226-8061 | |
Dr. Colleen Fagan, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2900 Ne 60th St Ste 205, Gladstone, MO 64119 Phone: 816-694-0200 Fax: 888-507-5906 |