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Individual

MRS. KERI JEANNINE SALYERS-CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20348
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2431568
UNITED HEALTHCARE
MD
01
5622033
CCN NETWORK
MD
01
57731
JOHN HOPKINS HEALTHCARE
MD
01
619225-02
BLUECROSS BLUESHIELD MD
MD
01
699023
NCPPO
MD
01
756LL185
RAILROAD MEDICARE
MD
01
T6710017
BLUECROSS BLUESHIELD DC
MD
Enumeration date
07/29/2006
Last updated
07/08/2007
Update your record

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