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Individual
SHELLINE KERR
Active
Individual
SHELLINE KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
655617
NY
363L00000X
Nurse Practitioner
F339918-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F339918-1
NY
Other
Enumeration date
06/15/2012
Last updated
08/06/2015
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