Individual
NINO KERASHVILI
Active
Individual
NINO KERASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
LL39965
SC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2020021404
MO
Other
Enumeration date
07/28/2016
Last updated
08/19/2022
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