Individual
MRS. KIMBERLY R JERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3 STREET, SOMERSET, IN 46984-0003
(765) 860-2651
Mailing address
PO BOX 3, SOMERSET, IN 46984-0003
(765) 860-2651
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004332A
IN
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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