Provider Demographics
NPI:1205860319
Name:BOND, KERRI LYNN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:LYNN
Last Name:BOND
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24900 BRITTON RD
Mailing Address - Street 2:
Mailing Address - City:SENECAVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43780-9652
Mailing Address - Country:US
Mailing Address - Phone:740-838-7104
Mailing Address - Fax:740-838-7104
Practice Address - Street 1:24900 BRITTON RD
Practice Address - Street 2:
Practice Address - City:SENECAVILLE
Practice Address - State:OH
Practice Address - Zip Code:43780-9652
Practice Address - Country:US
Practice Address - Phone:740-838-7104
Practice Address - Fax:740-838-7104
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN059104164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse