Provider Demographics
NPI:1275862013
Name:KERWIN KAIN, CAROLE ANNE (DNSC, ARNP)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:ANNE
Last Name:KERWIN KAIN
Suffix:
Gender:F
Credentials:DNSC, ARNP
Other - Prefix:
Other - First Name:CAROLE
Other - Middle Name:ANNE
Other - Last Name:KAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:899 SW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-6938
Mailing Address - Country:US
Mailing Address - Phone:561-703-0773
Mailing Address - Fax:561-347-5056
Practice Address - Street 1:10301 HAGEN RANCH RD STE B6
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437
Practice Address - Country:US
Practice Address - Phone:561-752-9490
Practice Address - Fax:561-752-9491
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2623662363LP0200X
FLARNP2623662363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics