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Individual
KERRI BARDELL SANTIAGO
Active
Individual
KERRI BARDELL SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
09917R
LA
207ZP0101X
Anatomic Pathology Physician
Primary
MD.09917R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1481599
—
LA
Enumeration date
07/25/2006
Last updated
02/10/2017
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