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NPI Code Detail

MEDICARE: LINDA R KERLEY STNA

MEDICARE:   LINDA R KERLEY  STNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency402254660320OH

General Provider Information

NPI Number : 1861011397
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA R KERLEY STNA
Provider Business Mailing Address
First Line : 1940 WESTBROOK RD
Second Line :
City : DAYTON
State : OH
Zip : 45415-1858
Country : US
Telephone Number : 937-250-5558
Fax Number :
Provider Business Practice Location Address
First Line : 1940 WESTBROOK RD
Second Line :
City : DAYTON
State : OH
Zip : 45415-1858
Country : US
Telephone Number : 937-250-5558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2020
Last Update Date : 04/14/2020

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Directions to “ LINDA R KERLEY STNA” Practice Location

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