Individual
KERRIN OMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 OLD STONE DR, SIMPSONVILLE, KY 40067-5658
(502) 722-1174
Mailing address
151 OLD STONE DR, SIMPSONVILLE, KY 40067-5658
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/25/2008
Last updated
05/25/2008
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