Individual
EMILY R KERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1105 CENTRAL EXPY N, SUITE 120, ALLEN, TX 75013-6103
(972) 727-9995
(972) 727-8350
Mailing address
1125 RAINTREE CIR STE 100, ALLEN, TX 75013-5289
(972) 727-9995
(972) 727-8350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA08097
MEDICAL LICENSE
TX
Enumeration date
02/21/2013
Last updated
04/02/2019
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