MEDICARE: LARRY KERKHOFF

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	106H00000X	Marriage & Family Therapist	LMFT93370	CA

General Provider Information

NPI Number	:	1508282807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY KERKHOFF

Provider Business Mailing Address
First Line	:	687 BELDEN ST
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-1309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 SARGENT CT
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-3115
Country	:	US
Telephone Number	:	831-601-6603
Fax Number	:	831-643-1003

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

Provider Enumeration Date	:	03/11/2014
Last Update Date	:	10/29/2024

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Directions to “ LARRY KERKHOFF ” Practice Location

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