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NPI Code Detail

MEDICARE: KERRI CONLIN HUTCHINS RN

MEDICARE: KERRI CONLIN HUTCHINS RN
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
1163W00000XRegistered Nurse298013NC

General Provider Information

NPI Number : 1841863719
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRI CONLIN HUTCHINS RN
Provider Business Mailing Address
First Line : 1207 GARREN CREEK ROAD
Second Line :
City : FAIRVIEW
State : NC
Zip : 28730-9452
Country : US
Telephone Number : 321-446-1612
Fax Number :
Provider Business Practice Location Address
First Line : 104 HOLCOMBE COVE RD
Second Line :
City : CANDLER
State : NC
Zip : 28715-9452
Country : US
Telephone Number : 321-446-1612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2021
Last Update Date : 07/20/2021

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