Individual
DENISE KERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1810 RICHMOND AVE, PORT ROYAL, SC 29935-2015
(843) 781-7700
Mailing address
545 FARR AVE, WADSWORTH, OH 44281-2322
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
27272
SC
363LA2200X
Adult Health Nurse Practitioner
CNP 019825
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
27272
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205006
—
OH
Enumeration date
10/06/2016
Last updated
10/27/2024
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