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NPI Code Detail

MEDICARE: KERI LEEANN WHITCOMB APN

MEDICARE:   KERI LEEANN WHITCOMB  APN
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 Practitioner28159155AIN

General Provider Information

NPI Number : 1649777640
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERI LEEANN WHITCOMB APN
Provider Business Mailing Address
First Line : 329 RICHMOND RD
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-9553
Country : US
Telephone Number : 219-405-1839
Fax Number :
Provider Business Practice Location Address
First Line : 1923 W GLEN PARK AVE
Second Line :
City : GRIFFITH
State : IN
Zip : 46319-3703
Country : US
Telephone Number : 219-922-2535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2018
Last Update Date : 02/08/2023

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Directions to “ KERI LEEANN WHITCOMB APN” Practice Location

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