Individual
KIMBERLY LYNNE KERPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3257 HALFWAY AVE, MCKINLEYVILLE, CA 95519-9316
(910) 381-7664
Mailing address
3257 HALFWAY AVE, MCKINLEYVILLE, CA 95519-9316
(910) 381-7664
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1677
CA
Other
Enumeration date
08/28/2009
Last updated
01/09/2015
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