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NPI Code Detail

MEDICARE: MRS. KERRI L KAYE RN

MEDICARE: MRS. KERRI L KAYE 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
1163WS0200XSchool Registered Nurse56891CA
2163W00000XRegistered Nurse523293CA

General Provider Information

NPI Number : 1982179396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KERRI L KAYE RN
Provider Business Mailing Address
First Line : 1965 BIRKMONT DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95742-6407
Country : US
Telephone Number : 916-294-9013
Fax Number : 916-294-9024
Provider Business Practice Location Address
First Line : 1965 BIRKMONT DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95742-6407
Country : US
Telephone Number : 916-294-9013
Fax Number : 916-294-9024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2018
Last Update Date : 10/11/2018

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