Individual
KERRI DEORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
391 POMFRET ST, PUTNAM, CT 06260-1852
(860) 963-4971
(860) 963-4979
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1587
(860) 731-5522
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
027661
CT
Other
Enumeration date
06/09/2014
Last updated
09/09/2019
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