MEDICARE: KERRY HERRMANN AU.D.

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
1	231H00000X	Audiologist	020000171	DE
2	231H00000X	Audiologist	41YA00073300	NJ
3	237700000X	Hearing Instrument Specialist	25MG00111900	NJ
4	237700000X	Hearing Instrument Specialist	030000231	DE
5	231H00000X	Audiologist	AT006021	PA

General Provider Information

NPI Number	:	1225216195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRY HERRMANN AU.D.

Provider Business Mailing Address
First Line	:	300 WILLOW VALLEY LAKES DR
Second Line	:
City	:	WILLOW STREET
State	:	PA
Zip	:	17584-9442
Country	:	US
Telephone Number	:	717-464-6411
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 WILLOW VALLEY LAKES DR
Second Line	:
City	:	WILLOW STREET
State	:	PA
Zip	:	17584-9442
Country	:	US
Telephone Number	:	717-464-6411
Fax Number	:	223-307-4060

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2008
Last Update Date	:	08/06/2025

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