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NPI Code Detail

MEDICARE: KAREN E KERSHAW LMFT

MEDICARE: KAREN E KERSHAW LMFT
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
1106H00000XMarriage & Family TherapistMFT00123RI

General Provider Information

NPI Number : 1962630046
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN E KERSHAW LMFT
Provider Business Mailing Address
First Line : 145 BOSTON NECK RD
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-5751
Country : US
Telephone Number : 401-331-1350
Fax Number : 401-277-3366
Provider Business Practice Location Address
First Line : 650 TEN ROD RD UNIT 13
Second Line : C/O FAMILY SERVICE OF RHODE ISLAND, INC
City : NORTH KINGSTOWN
State : RI
Zip : 02852-4237
Country : US
Telephone Number : 401-331-1350
Fax Number : 401-277-3366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2009
Last Update Date : 06/26/2009

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Directions to “ KAREN E KERSHAW LMFT” Practice Location

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