Individual
MISS KERI NEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9835 E TONTO DR, DEWEY, AZ 86327-6916
(928) 632-5331
(928) 910-2090
Mailing address
9835 E TONTO DR, DEWEY, AZ 86327-6916
(928) 632-5331
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
D01309813
AZ
174200000X
Meals Provider
—
—
235Z00000X
Speech-Language Pathologist
D01309813
AZ
251E00000X
Home Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
305S00000X
Point of Service
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251525
ARIZONA DEPARTMENT OF CORRECTIONS
AZ
01
—
411645001
ONE AZ CREDIT UNION (ARIZONA STATE SAVINGS AND CREDIT UNION / KERI NEWBERRY)
AZ
01
—
D01309813
KERI, LYNN, BODEN / KERI NEWBERRY (DRIVER LICENSE)
AZ
01
—
SAMDFASPROD03
KERI, LYNN, BODEN / KERI NEWBERRY (PRIVATE)
—
Enumeration date
06/23/2016
Last updated
03/24/2022
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