Individual
DR. KERRY ANN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11000 PRAIRIE LAKES DRIVE, SUITE 460, EDEN PRAIRIE, MN 55344-3434
(952) 943-0836
(952) 943-0837
Mailing address
11000 PRAIRIE LAKES DR, SUITE 460, EDEN PRAIRIE, MN 55344-3885
(952) 943-0836
(952) 943-0837
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
34807
MN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
34807
MN
Other
Enumeration date
10/24/2007
Last updated
10/26/2007
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