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Individual

DENISE KERR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,NP

Contact information

Practice address
16001 W 9 MILE RD, CATH LAB, SOUTHFIELD, MI 48075-4818
(248) 849-3924
(248) 849-2717
Mailing address
25925 TELEGRAPH RD, #210, SOUTHFIELD, MI 48034-2518
(248) 746-3218
(248) 746-0369

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
4704141108
MI
363L00000X
Nurse Practitioner
Primary
4704141108
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704141108
REGISTERED NURSE
MI
Enumeration date
07/26/2006
Last updated
02/01/2011
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