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Individual

JEANEAL I KERRIGAN

Active
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Individual

JEANEAL I KERRIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R055970-0
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
320823100
MN
01
430015495
RAILROAD MEDICARE
MN
05
ENROLLED
IA
05
ENROLLED
WI
Enumeration date
02/21/2006
Last updated
02/03/2010
Update your record

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