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Contact Information

KERRI WILSON, LPN
856 MICHIGAN AVE
BELLPORT, NY11713-1506
 Phone: 631-286-3699
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for KERRI WILSON · (Female)

NPI Number 1205093598
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 05/22/2008
Last updated 05/22/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 288990
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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