Individual
JESSE NEWTON KERLEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
57968
MI
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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