Provider Demographics
NPI:1518219278
Name:KAPPER, KERRI BETH (MS, ED)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:BETH
Last Name:KAPPER
Suffix:
Gender:F
Credentials:MS, ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 HERRINGTON HILL RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:NY
Mailing Address - Zip Code:12834-5812
Mailing Address - Country:US
Mailing Address - Phone:518-692-1166
Mailing Address - Fax:
Practice Address - Street 1:491 HERRINGTON HILL RD
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:NY
Practice Address - Zip Code:12834-5812
Practice Address - Country:US
Practice Address - Phone:518-692-1166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist