Doctor Name: | MRS. WENDY MICHELLE KERR |
NPI Number: | 1205187879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 315571 |
Business Practice Address: | 330 N Seltzer St Crestline, OH - 448271403 |
Business Phone Number: | 4196833200 |
Business Fax Number: | |
Mailing Address: | 1024 County Road 2075, ASHLAND |
State: | OH |
Postal Code: | 448059302 |
Phone Number: | 4196518808 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2012 |
NPI Last Update Date: | 09/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 315571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |