Kerwin, Diana R

Kerwin, Diana R is an individual health care provider with primary practice located at 8198 Walnut Hill Ln Ste 100 , Dallas TX 75231-4316. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Kerwin, Diana R can be contacted via phone (214) 345-4449.

Contact Information

Primary practice address
8198 Walnut Hill Ln Ste 100 Dallas TX 75231-4316
Phone: (214) 345-4449
Fax: (214) 345-1238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 44447 Wisconsin
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X P5658 Texas

Profile Details

NPI number 1750335097
LBN Legal business name Kerwin, Diana R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 13th, 2016 - about 8 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 1750335097 NPPES
Wisconsin MEDICAID 34205300
Wisconsin Other 006000261R
Wisconsin MEDICAID 326041601

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