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Individual

MS. KERRY INTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229-3561
(210) 614-5539
(210) 614-5548
Mailing address
4200 CREEDE DR, AUSTIN, TX 78744-1784
(956) 536-2434

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP143565
TX

Other

Enumeration date
12/27/2019
Last updated
12/27/2019
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