NPI Code Details Logo

NPI 1023008802

NPI 1023008802 : KERRI KANSAS MD : DRIPPING SPRINGS, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1023008802
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KERRI KANSAS MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/24/2005
-----------------------------------------------------
    Last Update Date     |    02/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    28515 RANCH ROAD 12 
-----------------------------------------------------
    City                 |    DRIPPING SPRINGS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78620-3800
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    856-782-3300
-----------------------------------------------------
    Fax                  |    856-782-7974
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    28515 RANCH ROAD 12 
-----------------------------------------------------
    City                 |    DRIPPING SPRINGS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78620-3800
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-866-5680
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2080N0001X
-----------------------------------------------------
    Taxonomy Name        |    Neonatal-Perinatal Medicine Physician
-----------------------------------------------------
    License Number       |    MA07750000
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2080N0001X
-----------------------------------------------------
    Taxonomy Name        |    Neonatal-Perinatal Medicine Physician
-----------------------------------------------------
    License Number       |    M3606
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.