Harrington, Kerry Lyn

Harrington, Kerry Lyn is an individual health care provider with primary practice located at 1740 Nw Goetz St , Roseburg OR 97471-1613. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Harrington, Kerry Lyn can be contacted via phone (541) 640-7625.

Contact Information

Primary practice address
1740 Nw Goetz St Roseburg OR 97471-1613
Phone: (541) 640-7625
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01176 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA16258 California

Profile Details

NPI number 1760473060
LBN Legal business name Harrington, Kerry Lyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jan 24th, 2020 - about 4 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 1760473060 NPPES
California MEDICAID OPA162580

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