Individual
KERRI K DOUCETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., R.D., C.D.E.
Contact information
Practice address
20218 COLONY POINT LN, CORNELIUS, NC 28031-6011
(603) 361-9620
Mailing address
20218 COLONY POINT LN, CORNELIUS, NC 28031-6011
(603) 361-9620
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003934
NC
163WD0400X
Diabetes Educator Registered Nurse
97278
NC
Other
Enumeration date
03/15/2007
Last updated
02/27/2012
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