Individual
KERSHA PENNICOTT
Active
Individual
KERSHA PENNICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
132150
FL
208000000X
Pediatrics Physician
Primary
310013
NY
Other
Enumeration date
03/31/2014
Last updated
11/04/2024
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