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Individual

KERRI MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
930 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3718
(410) 939-0961
(410) 939-7832
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006275
MD
363AM0700X
Medical Physician Assistant
Primary
C06275
MD

Other

Enumeration date
10/23/2016
Last updated
03/31/2026
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