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NPI Code Detail

MEDICARE: JOHN KERMITH HERING

MEDICARE: JOHN KERMITH HERING
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1093834483
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN KERMITH HERING
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-868-5000
Fax Number : 661-836-8834
Provider Business Practice Location Address
First Line : 5121 STOCKDALE HWY STE 275
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-2667
Country : US
Telephone Number : 661-868-5000
Fax Number : 661-868-8834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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