Organization
KERRY A CRANDALL,ARNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERRY ANNE CRANDALL ARNP (ARNP)
(386) 852-8505
Entity
Organization
Contact information
Practice address
290 CLYDE MORRIS BLVD, ORMOND BEACH, FL 32174-8130
(386) 677-5600
Mailing address
290 CLYDE MORRIS BLVD, ORMOND BEACH, FL 32174-8130
(386) 677-5600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
ARNP2043932
FL
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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