| Doctor Name: | KERRY SHAWN REDMOND |
| NPI Number: | 1578682837 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCAS |
| License Number: | 1170 |
| Business Practice Address: | 271a Callahan Koon Rd Spindale, NC - 281602207 |
| Business Phone Number: | 8282876110 |
| Business Fax Number: | 8282876092 |
| Mailing Address: | 53 S French Broad Ave Fl 3, ASHEVILLE |
| State: | NC |
| Postal Code: | 288013272 |
| Phone Number: | 8282253100 |
| Fax Number: | 8282253604 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 06/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1170 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |