1689872517 NPI number — MRS. KERRI RUDIN BELL M.ED., CCC-A

Table of content: MRS. KERRI RUDIN BELL M.ED., CCC-A (NPI 1689872517)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689872517 NPI number — MRS. KERRI RUDIN BELL M.ED., CCC-A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BELL
Provider First Name:
KERRI
Provider Middle Name:
RUDIN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.ED., CCC-A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RUDIN
Provider Other First Name:
KERRI
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1689872517
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5212 TURNING BRANCH WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLEN ALLEN
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23059-7533
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-360-1803
Provider Business Mailing Address Fax Number:
804-364-9681

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5212 TURNING BRANCH WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLEN ALLEN
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23059-7533
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-360-1803
Provider Business Practice Location Address Fax Number:
804-364-9681
Provider Enumeration Date:
07/03/2007

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: 231H00000X , with the licence number:  2201000594 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com