Individual
MRS. VICKI BOWERS KERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1401 EARL CORE ROAD, SUITE D, MORGANTOWN, WV 25962
(304) 285-5515
(304) 285-5524
Mailing address
1401 EARL CORE ROAD, SUITE D, MORGANTOWN, WV 25962
(304) 285-5515
(304) 285-5524
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
32920
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003635
—
WV
Enumeration date
08/08/2006
Last updated
07/08/2007
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