Mercer, Kathleen Mccormick

Mercer, Kathleen Mccormick is an individual health care provider with primary practice located at 611 S Dupont Highway , Dover DE 19901-4507. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Mercer, Kathleen Mccormick can be contacted via phone (302) 741-2123.

Contact Information

Primary practice address
611 S Dupont Highway Dover DE 19901-4507
Phone: (302) 741-2123
Fax: (302) 741-2007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X LJ0000119 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X L10022291 Delaware

Profile Details

NPI number 1104830843
LBN Legal business name Mercer, Kathleen Mccormick
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Dec 29th, 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 1104830843 NPPES
Maryland MEDICAID 443301700
Maryland Other LJ0000119

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