Individual
KERRIE LAINE PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4041 S MCCLINTOCK DR STE 302, TEMPE, AZ 85282-5879
(480) 339-1780
Mailing address
4041 S MCCLINTOCK DR STE 302, TEMPE, AZ 85282-5879
(480) 339-1780
(602) 357-4604
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
1128362
KY
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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