Healthcare Provider Details

I. General information

NPI: 1326963257
Provider Name (Legal Business Name): KERRY MCNAMARA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3181 NORTHWEST BLVD APT 400
UPPER ARLINGTON OH
43221-2269
US

IV. Provider business mailing address

1991 MILDEN RD
UPPER ARLINGTON OH
43221-1937
US

V. Phone/Fax

Practice location:
  • Phone: 772-626-7408
  • Fax:
Mailing address:
  • Phone: 772-626-7408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: