1831194430 NPI number — KERRI POWELL DUNCAN MSP, CCC-SLP

Table of content: KERRI POWELL DUNCAN MSP, CCC-SLP (NPI 1831194430)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831194430 NPI number — KERRI POWELL DUNCAN MSP, CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUNCAN
Provider First Name:
KERRI
Provider Middle Name:
POWELL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSP, CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCCORMACK
Provider Other First Name:
KERRI
Provider Other Middle Name:
POWELL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSP, CCC-SLP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1831194430
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1723 GARLAND RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GABLE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29051-9662
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-460-3297
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1723 GARLAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GABLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29051-9662
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-460-3297
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/20/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  2233 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: SA0167 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".