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NPI Code Detail

MEDICARE: KERRY SHAWN REDMOND LCAS

MEDICARE:   KERRY SHAWN REDMOND  LCAS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1170NC

Other Identifiers

General Provider Information

NPI Number : 1578682837
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY SHAWN REDMOND LCAS
Provider Business Mailing Address
First Line : 53 S FRENCH BROAD AVE FL 3
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-3272
Country : US
Telephone Number : 828-225-3100
Fax Number : 828-225-3604
Provider Business Practice Location Address
First Line : 271A CALLAHAN KOON RD
Second Line :
City : SPINDALE
State : NC
Zip : 28160-2207
Country : US
Telephone Number : 828-287-6110
Fax Number : 828-287-6092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 06/18/2008

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Directions to “ KERRY SHAWN REDMOND LCAS” Practice Location

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