Individual
MRS. KERRY ANNE KEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1675 CURLEW DR, AMMON, ID 83406-4718
(208) 529-4300
(208) 529-1627
Mailing address
1675 CURLEW DR, AMMON, ID 83406-4718
(208) 529-4300
(208) 529-1627
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1591
ID
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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