Individual
DR. KERRY LYNN MUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
136 FAIRVIEW RD STE 125, MOORESVILLE, NC 28117-8547
(704) 677-7635
(980) 435-0398
Mailing address
136 FAIRVIEW RD STE 125, MOORESVILLE, NC 28117-8547
(704) 677-7635
(980) 435-0398
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2015-02011
NC
2084P0800X
Psychiatry Physician
24861
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629230263
—
NC
Enumeration date
06/25/2008
Last updated
11/09/2017
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