Individual
MRS. CRISTAL DAWN KERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N BAILEY AVE, NORTH PLATTE, NE 69101-5436
(308) 532-4860
(308) 532-1157
Mailing address
PO BOX 1209, NORTH PLATTE, NE 69103-1209
(308) 532-4860
(308) 532-1157
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80
—
NE
Enumeration date
05/09/2011
Last updated
10/30/2013
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