| Doctor Name: | CAROL G KERCHER |
| NPI Number: | 1063470102 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | NP27241 |
| Business Practice Address: | 1230 Lake Ave Ashtabula, OH - 440042932 |
| Business Phone Number: | 4409642218 |
| Business Fax Number: | 4409648067 |
| Mailing Address: | 1230 Lake Ave, ASHTABULA |
| State: | OH |
| Postal Code: | 440042932 |
| Phone Number: | 4409642218 |
| Fax Number: | 4409648067 |
| NPI Enumeration Date: | 05/01/2006 |
| NPI Last Update Date: | 06/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP27241 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |