Kerry A Ebert is a Specialist in Providence, Rhode Island. Kerry A Ebert practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kerry A Ebert is 1649439936. The last update date is 2021-04-22.
Kerry A Ebert's current location address is Po Box 1119, Providence, Rhode Island. You can contact this provider via phone number 4014571580 and fax number 4018310500. The mailing address for Kerry A Ebert is Po Box 1119, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry A Ebert |
|---|---|
| Address | Po Box 1119, Providence, Rhode Island |
| Phone Number | 4014571580 |
| Fax Number | 4018310500 |
| Sole Proprietor | Y |
| Credentials | OTR/L, CHT |
NPI Number Detail
| NPI Number | 1649439936 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2021-04-22 |
Provider Mailing Address Detail
| Address | Po Box 1119 |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29011119 |
| Phone Number | 4014571580 |
| Fax Number | 4018310500 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1170 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1170 | RI | RI LICENSE | |
| 9416 | MA | STATE LICENSE - OUT OF STATE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kerry A Ebert by the Centers for Medicare & Medicaid Services?
The Kerry A Ebert has been issued the NPI (National Provider Identifier) 1649439936 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kerry A Ebert is physically located?
The Kerry A Ebert is situated at the following address: Po Box 1119, Providence, RI 29011119.
What is Kerry A Ebert's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kerry A Ebert's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When was the Kerry A Ebert's 1649439936 issued?
The Kerry A Ebert's 1649439936 was issued on 2008-06-03.
When was the information regarding Kerry A Ebert most recently updated?
The details pertaining to the Kerry A Ebert, including its address, specialty, and other relevant information, were last refreshed on 2021-04-22.