Provider Demographics
NPI:1386962595
Name:CARTER, PAMELA S (AA)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:S
Last Name:CARTER
Suffix:
Gender:F
Credentials:AA
Other - Prefix:MISS
Other - First Name:PAMELA
Other - Middle Name:S
Other - Last Name:BINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AA
Mailing Address - Street 1:9233 WARD PKWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-3366
Mailing Address - Country:US
Mailing Address - Phone:816-389-6030
Mailing Address - Fax:816-389-6034
Practice Address - Street 1:4401 WORNALL RD
Practice Address - Street 2:DEPARTMENT OF CARDIOTHORACIC ANESTHESIA
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3220
Practice Address - Country:US
Practice Address - Phone:816-389-6030
Practice Address - Fax:816-389-6034
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2010015648Other2010015648- STATE LICENSE