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Individual

KATHRYN W KERKERING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1030 S JEFFERSON ST STE 201, ROANOKE, VA 24016-4418
(540) 224-4520
Mailing address
1914 GROVE HILL RD, FINCASTLE, VA 24090-3390

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
200201596
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1329W
BCBS NC
NC
05
891329W
NC
01
P00002731
RAILROAD MEDICARE
NC
Enumeration date
08/19/2005
Last updated
08/12/2011
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