Provider Demographics
NPI:1184907784
Name:CARTER, LINSEY KAY (ARNP/FNP)
Entity type:Individual
Prefix:MRS
First Name:LINSEY
Middle Name:KAY
Last Name:CARTER
Suffix:
Gender:F
Credentials:ARNP/FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1215
Mailing Address - Street 2:ATTN: CLINIC BILLING OFFICE
Mailing Address - City:LIBERAL
Mailing Address - State:KS
Mailing Address - Zip Code:67905-1215
Mailing Address - Country:US
Mailing Address - Phone:620-629-6638
Mailing Address - Fax:620-629-6684
Practice Address - Street 1:555 W 15TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901-2467
Practice Address - Country:US
Practice Address - Phone:620-624-0702
Practice Address - Fax:620-624-5078
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75446-042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200743480AMedicaid
KS75446OtherSTATE LICENSE
KS75446OtherSTATE LICENSE