Individual
DR. KERRY PATRICIA LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, ET3019, MIAMI, FL 33136-1005
(305) 585-5285
Mailing address
2101 BRICKELL AVE APT 403, MIAMI, FL 33129-2102
(210) 385-3500
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0101259723
VA
208200000X
Plastic Surgery Physician
Primary
ME92290
FL
208600000X
Surgery Physician
0101259723
VA
Other
Enumeration date
11/06/2006
Last updated
01/07/2022
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