Individual
MRS. IDA MAE KERBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2136 MORNINGSIDE DR, EMPORIA, KS 66801-5452
(620) 341-9682
(620) 345-1968
Mailing address
2136 MORNINGSIDE DRIVE, EMPORIA, KS 66801-5452
(620) 341-9682
(620) 345-1968
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0886905701
—
KS
Enumeration date
02/20/2007
Last updated
07/09/2007
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