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NPI Code Detail

MEDICARE: MS. KERRY E PATMORE

MEDICARE: MS. KERRY E PATMORE
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
1101YM0800XMental Health CounselorA18614NC

General Provider Information

NPI Number : 1356774038
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KERRY E PATMORE
Provider Business Mailing Address
First Line : 2009 MOSS CREEK DR
Second Line :
City : HARRISBURG
State : NC
Zip : 28075-6696
Country : US
Telephone Number : 914-474-7308
Fax Number :
Provider Business Practice Location Address
First Line : 280 EXECUTIVE PARK DR STE 100
Second Line :
City : CONCORD
State : NC
Zip : 28025-1838
Country : US
Telephone Number : 914-474-7308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2013
Last Update Date : 04/15/2023

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Directions to “ MS. KERRY E PATMORE ” Practice Location

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