Provider Demographics
NPI:1831408020
Name:STRIMPLE, CARRIE LANE (NP)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:LANE
Last Name:STRIMPLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 W 11TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:COFFEYVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67337-3614
Mailing Address - Country:US
Mailing Address - Phone:620-251-5400
Mailing Address - Fax:620-251-5412
Practice Address - Street 1:1505 W 11TH ST STE C
Practice Address - Street 2:
Practice Address - City:COFFEYVILLE
Practice Address - State:KS
Practice Address - Zip Code:67337
Practice Address - Country:US
Practice Address - Phone:620-251-5400
Practice Address - Fax:620-251-5412
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75235-042207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine