Healthcare Provider Details

I. General information

NPI: 1104289024
Provider Name (Legal Business Name): KERRI FLESHIA BEST-SULE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2016
Last Update Date: 04/12/2021
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5009 HONEYGO CENTER DR STE 225
PERRY HALL MD
21128-9843
US

IV. Provider business mailing address

5009 HONEYGO CENTER DR STE 225
PERRY HALL MD
21128-9843
US

V. Phone/Fax

Practice location:
  • Phone: 443-725-2100
  • Fax:
Mailing address:
  • Phone: 434-725-2100
  • Fax: 877-423-2290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0087048
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: