Daniels, Kerri

Daniels, Kerri is an individual health care provider with primary practice located at 3235 Sw Port St Lucie Blvd Ste 105 , Port St Lucie FL 34953-3405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Daniels, Kerri can be contacted via phone (772) 408-5063.

Contact Information

Primary practice address
3235 Sw Port St Lucie Blvd Ste 105 Port St Lucie FL 34953-3405
Phone: (772) 408-5063
Fax: (844) 540-4793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-5922 Arkansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME108559 Florida

Profile Details

NPI number 1134348469
LBN Legal business name Daniels, Kerri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Mar 18th, 2019 - about 5 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 1134348469 NPPES
Arkansas MEDICAID 176958001
Arkansas MEDICAID 002991300

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