Individual
MRS. MIRIAM GATES KERR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MAT CCC SCP
Contact information
Practice address
1241 N MAIN ST, HARRISONBURG, VA 22802
(540) 434-1941
(540) 433-8277
Mailing address
1241 N MAIN ST, HARRISONBURG, VA 22802
(540) 434-1941
(540) 433-8277
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004153
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41488
OPTIMA FAMILY CARE
VA
01
—
48741
BCBS
NC
05
—
7448741
—
NC
01
—
A4962
MEDCOST
NC
Enumeration date
06/09/2006
Last updated
07/08/2007
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