Provider Demographics
NPI:1215600218
Name:SHRABLE, KERI D
Entity Type:Individual
Prefix:MRS
First Name:KERI
Middle Name:D
Last Name:SHRABLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 717
Mailing Address - Street 2:
Mailing Address - City:MANILA
Mailing Address - State:AR
Mailing Address - Zip Code:72442-0717
Mailing Address - Country:US
Mailing Address - Phone:870-930-0397
Mailing Address - Fax:870-570-0359
Practice Address - Street 1:603 W FLEEMAN STE 4
Practice Address - Street 2:
Practice Address - City:MANILA
Practice Address - State:AR
Practice Address - Zip Code:72442-9171
Practice Address - Country:US
Practice Address - Phone:870-930-0397
Practice Address - Fax:870-570-0359
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator