Provider Demographics
NPI:1326425356
Name:MCLAUGHLIN, KERRI ANNE (MBA, ATC)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:ANNE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MBA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 KAY ST
Mailing Address - Street 2:APT J-2
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-5373
Mailing Address - Country:US
Mailing Address - Phone:508-930-3281
Mailing Address - Fax:
Practice Address - Street 1:600 LYDIA DR
Practice Address - Street 2:
Practice Address - City:PELION
Practice Address - State:SC
Practice Address - Zip Code:29123-9812
Practice Address - Country:US
Practice Address - Phone:803-821-2297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1454246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other