Individual
STEPHANIE KAY KERTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5230 BECK DR STE 3, ELKHART, IN 46516-9059
(574) 622-1522
(574) 699-6588
Mailing address
65460 W PENINSULA DR, CASSOPOLIS, MI 49031-9526
(574) 622-1522
(574) 699-1588
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28184746A
IN
363LA2200X
Adult Health Nurse Practitioner
4704338384
MI
Other
Enumeration date
08/17/2015
Last updated
10/18/2024
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