Claybourn, Keri Renee

Claybourn, Keri Renee is an individual health care provider with primary practice located at 7300 E Indiana St Suite 102, Evansville IN 47715-2794. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Claybourn, Keri Renee can be contacted via phone (812) 476-0409.

Contact Information

Primary practice address
7300 E Indiana St Suite 102 Evansville IN 47715-2794
Phone: (812) 476-0409
Fax: (812) 476-1016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2006006324 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05009722A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 005470 Kentucky

Profile Details

NPI number 1437108941
LBN Legal business name Claybourn, Keri Renee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 7th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437108941 NPPES
Indiana MEDICAID 200935970
Indiana Other 000000602229
Indiana Other 000000607010

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