Individual
CARRIE ANNE KERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
550 HALLMARK DR, EATON, OH 45320-8648
(937) 456-4181
(937) 456-4649
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICE, RICHMOND, IN 47374
(765) 935-5331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71007000A
IN
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.17936
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000951992
ANTHEM
OH
05
—
0141383
—
OH
Enumeration date
08/08/2015
Last updated
05/14/2021
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