Doctor Name: | KERRY L PARTIS |
NPI Number: | 1942437256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 5200 N Croatan Hwy Suite 2 Kitty Hawk, NC - 279493990 |
Business Phone Number: | 2527155100 |
Business Fax Number: | 8446480728 |
Mailing Address: | 5200 N Croatan Hwy, Suite 2 KITTY HAWK |
State: | NC |
Postal Code: | 279493990 |
Phone Number: | 2527155100 |
Fax Number: | 8446480728 |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |