Individual
KERRI JOBARNES HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6445 RICHFIELD PARKWAY, RICHFIELD, MN 55423
(612) 252-0473
Mailing address
6445 RICHFIELD PARKWAY, RICHFIELD, MN 55423
(612) 252-0473
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9472
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194G8HA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/14/2006
Last updated
10/09/2007
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