Provider Demographics
NPI:1881218113
Name:CARTER, KIM RENEE (ADULT FIRST AID/CPR/)
Entity Type:Individual
Prefix:MS
First Name:KIM
Middle Name:RENEE
Last Name:CARTER
Suffix:
Gender:F
Credentials:ADULT FIRST AID/CPR/
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 6TH ST SW APT 405
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3838
Mailing Address - Country:US
Mailing Address - Phone:240-639-3642
Mailing Address - Fax:
Practice Address - Street 1:930 FARRAGUT ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3944
Practice Address - Country:US
Practice Address - Phone:202-541-1260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide