Individual
DR. KERRY A HERDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
505 W HOMER ST, SALEM, IN 47167-1698
(812) 883-8772
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01031253
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100330740
—
IN
Enumeration date
06/09/2006
Last updated
11/27/2023
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