Kerton, Susan A

Kerton, Susan A is an sole proprietor health care provider with primary practice located at 2645 Tierra Cir , Winter Park FL 32792-2208. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kerton, Susan A can be contacted via phone (407) 437-2968.

Contact Information

Primary practice address
2645 Tierra Cir Winter Park FL 32792-2208
Phone: (407) 437-2968
Fax: (321) 972-3792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT6909 Florida

Profile Details

NPI number 1437214087
LBN Legal business name Kerton, Susan A
Credentials OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Dec 17th, 2012 - about 12 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 1437214087 NPPES
Florida MEDICAID 884104700

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