MEDICARE: CHRISTINA KERBY

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	374J00000X	Doula	LD026260	CA

General Provider Information

NPI Number	:	1770410193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA KERBY

Provider Business Mailing Address
First Line	:	311 W H ST
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-2719
Country	:	US
Telephone Number	:	909-489-7017
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 W H ST
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-2719
Country	:	US
Telephone Number	:	909-489-7017
Fax Number	:

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

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “ CHRISTINA KERBY ” Practice Location

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