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NPI Code Detail

MEDICARE: MRS. KAITLYNN ARNOLD KERRIGAN NP

MEDICARE: MRS. KAITLYNN ARNOLD KERRIGAN NP
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
1363LF0000XFamily Nurse PractitionerAP144944TX

General Provider Information

NPI Number : 1528678927
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAITLYNN ARNOLD KERRIGAN NP
Provider Business Mailing Address
First Line : 933 W 17TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-3433
Country : US
Telephone Number : 832-367-9074
Fax Number :
Provider Business Practice Location Address
First Line : 2500 RICE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77005-3221
Country : US
Telephone Number : 713-527-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2020
Last Update Date : 07/31/2020

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