Hope Kerr Pc | |
3503 Greenleaf Blvd Ste 202 Kalamazoo MI 49008-2580 | |
(269) 423-2003 | |
Not Available |
Full Name | Hope Kerr Pc |
---|---|
Speciality | Psychologist |
Location | 3503 Greenleaf Blvd Ste 202, Kalamazoo, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769788 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hope Kerr Pc 134 W Maple St Mason MI 48854-1657 Ph: () - | Hope Kerr Pc 3503 Greenleaf Blvd Ste 202 Kalamazoo MI 49008-2580 Ph: (269) 423-2003 |
NPI Number | 1942930557 |
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Provider Enumeration Date | 06/15/2022 |
Last Update Date | 06/15/2022 |
Certification Date | 06/15/2022 |
Medicare PECOS PAC ID | 0749656205 |
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Medicare Enrollment ID | O20221025001264 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942930557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | David L Russell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548362171 PECOS PAC ID: 1052484748 Enrollment ID: I20080714000280 |
Provider Name | Hope Kerr |
---|---|
Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1861594715 PECOS PAC ID: 7810363371 Enrollment ID: I20240307002072 |
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