Individual
KERRY A MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
252733
MA
363LF0000X
Family Nurse Practitioner
Primary
252733
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701068
—
MA
01
—
AA18698
HARVARD PILGRIM
MA
01
—
NP4776
BLUE CROSS
MA
Enumeration date
03/24/2006
Last updated
12/02/2019
Update your record
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