Provider Demographics
NPI:1508447566
Name:CARPER, KARI LYNN
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:LYNN
Last Name:CARPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:LYNN
Other - Last Name:SHINKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-2826
Mailing Address - Country:US
Mailing Address - Phone:620-617-5875
Mailing Address - Fax:
Practice Address - Street 1:1312 PATTON RD
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-3120
Practice Address - Country:US
Practice Address - Phone:620-792-4087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst