Provider Demographics
NPI:1336830660
Name:K. CARRIER FAMILY CARE, LLC
Entity Type:Organization
Organization Name:K. CARRIER FAMILY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:F
Authorized Official - Last Name:CARRIER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:337-326-5161
Mailing Address - Street 1:122 DAISEY ENGLAND RD
Mailing Address - Street 2:
Mailing Address - City:KINDER
Mailing Address - State:LA
Mailing Address - Zip Code:70648-5748
Mailing Address - Country:US
Mailing Address - Phone:337-326-5161
Mailing Address - Fax:337-761-5595
Practice Address - Street 1:798 MAIN STREET
Practice Address - Street 2:
Practice Address - City:ELTON
Practice Address - State:LA
Practice Address - Zip Code:70532
Practice Address - Country:US
Practice Address - Phone:337-326-5161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:K. CARRIER FAMILY CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty