Kellie Rae Carpenter, LPN, CSFA is a
Licensed Practical Nurse based in Little Hocking, Ohio. Kellie Rae Carpenter is licensed to practice in Ohio (license number 083554) and her current practice location is
Po Box 65, Little Hocking, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 516-0823.
NPI number for Kellie Rae Carpenter is 1063339893 and her current mailing address is Po Box 65, Little Hocking, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063339893.
Provider's Profile
| Full Name | Kellie Rae Carpenter |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
|---|
| Location | Po Box 65, Little Hocking, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063339893
- Provider Enumeration Date: 07/02/2026
- Last Update Date: 07/02/2026
Medical Identifiers
Medical identifiers for Kellie Rae Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063339893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 083554 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Rae Carpenter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kellie Rae Carpenter, LPN, CSFA Po Box 65, Little Hocking, OH 45742-0065 Ph: () - | Kellie Rae Carpenter, LPN, CSFA Po Box 65, Little Hocking, OH 45742-0065 Ph: (740) 516-0823 |
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