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NPI Code Detail

MEDICARE: KERRI HERRIN

MEDICARE: KERRI HERRIN
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
1183700000XPharmacy TechnicianL921819MI

General Provider Information

NPI Number : 1063881118
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRI HERRIN
Provider Business Mailing Address
First Line : 620 N PONTIAC TRL
Second Line :
City : WALLED LAKE
State : MI
Zip : 48390-3448
Country : US
Telephone Number : 248-669-2776
Fax Number : 248-669-2835
Provider Business Practice Location Address
First Line : 620 N PONTIAC TRL
Second Line :
City : WALLED LAKE
State : MI
Zip : 48390-3448
Country : US
Telephone Number : 248-669-2776
Fax Number : 248-669-2835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2015
Last Update Date : 09/18/2015

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Directions to “ KERRI HERRIN ” Practice Location

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