Individual
KERRI MARIE MATEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
875 POPLAR CHURCH RD, SUITE 400, CAMP HILL, PA 17011-2203
(717) 724-6450
(717) 724-6451
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052135
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092873EC5
MEDICARE PIN - ASSOC CARD
PA
01
—
108766RQJ
MEDICARE PIN - PINNACLEHE
PA
01
—
P00362151
MEDICARE RAILROAD - ASSOC
PA
Enumeration date
10/04/2005
Last updated
06/11/2020
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