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Individual

KEVIN CLINTON KERRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
201 E SAMPLE RD, DEERFIELD BEACH, FL 33064-3502
(305) 510-2302
Mailing address
8785 SW 165TH AVE STE 200-2010, MIAMI, FL 33193-5826
(305) 510-2302
(305) 847-0418

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11015857
FL

Other

Enumeration date
10/18/2021
Last updated
10/22/2025
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