Provider Demographics
NPI:1447579750
Name:HALDEMAN, KERI LYNN (DC)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:LYNN
Last Name:HALDEMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19414 LEITERSBURG PIKE
Mailing Address - Street 2:SUITE E
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-7601
Mailing Address - Country:US
Mailing Address - Phone:301-739-2987
Mailing Address - Fax:301-739-7664
Practice Address - Street 1:3703 W WEAVER RD
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-9661
Practice Address - Country:US
Practice Address - Phone:717-331-0707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor