Individual
KERRIANN MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 WILLMAR AVE SW, AFFILIATED COMMUNITY MEDICAL CENTERS, WILLMAR, MN 56201
(320) 231-5000
(320) 231-5067
Mailing address
101 WILLMAR AVE SW, AFFILIATED COMMUNITY MEDICAL CENTERS, WILLMAR, MN 56201
(320) 231-5000
(320) 231-5067
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47040
MN
208M00000X
Hospitalist Physician
47040
MN
Other
Enumeration date
12/06/2005
Last updated
10/14/2022
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