Individual
KERRI- ANN CHAMPNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 BRISTOL ST, LINDENHURST, NY 11757-4165
(631) 905-3741
(631) 392-0084
Mailing address
51 BRISTOL ST, LINDENHURST, NY 11757-4165
(631) 905-3741
(631) 392-0084
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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