Individual
KIM KERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
LANIER VILLAGE ESTATES, MISTY MORNING WAY, GAINESVILLE, GA 30506
(678) 450-3050
Mailing address
3818 ALEXANDRIA DR, GAINESVILLE, GA 30506-4315
(678) 450-3050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006703
GA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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