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Kelly Ann Carothers

Family Doctor Emergency Physician

1836 South Ave
La Crosse , Wisconsin 54601-5429

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Kelly Ann Carothers

Family Doctor Emergency Physician

1836 South Ave
La Crosse , Wisconsin 54601-5429

(608) 782-7300

Write a Review Save Call

Kelly Ann Carothers

Family Doctor Emergency Physician

1836 South Ave
La Crosse , Wisconsin 54601-5429

(608) 782-7300 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Emergency Physician
  • Family Doctor

Languages spoken

  • English

Location

1836 South Ave La Crosse , Wisconsin 54601-5429

First Address

  • Kelly Ann Carothers
  • 1836 South Ave
  • La Crosse, WI
  • Zip : 54601-5429
  • Phone : (608) 782-7300

Second Address

  • Kelly Ann Carothers
  • 1836 South Ave
  • La Crosse, WI
  • Zip : 54601-5429
  • Phone : (608) 782-7300

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FAQs


Where did Kelly Ann Carothers attend graduate school?

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Where did Kelly Ann Carothers do her residency?

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Where did Kelly Ann Carothers do her fellowship?

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Is Kelly Ann Carothers board certified?

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What type of doctor is Kelly Ann Carothers

Emergency Physician

In what state does Kelly Ann Carothers practice in?

Wisconsin

Where is Kelly Ann Carothers ’s practice located?

1836 South Ave , La Crosse, Wisconsin, 54601-5429

What is Kelly Ann Carothers ’s gender?

Female

Is Kelly Ann Carothers a sole practitioner?

No

Is Kelly Ann Carothers accepting new patients?

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What languages does Kelly Ann Carothers speak?

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Does Kelly Ann Carothers accept insurance?

Yes, Kelly Ann Carothers accepts insurance

Does Kelly Ann Carothers offers telemedicine?

Kelly Ann Carothers has not indicated if she offers telemedicine

What is Kelly Ann Carothers ’s professional license number?

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What is Kelly Ann Carothers ’s NPI number?

1003936857

Does Kelly Ann Carothers have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207P00000X Emergency Physician 40256 WI
N 207Q00000X Family Doctor 40256 WI

National Provider Identifier

NPI 1003936857
Provider Name Kelly Ann Carothers
First Address La Crosse, WI 54601-5429
Second Address La Crosse, WI 54601-5429
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 29/03/2007
Last Update Date 27/05/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
32474400 (05) WI
G75117 (02) WI

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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