Provider Demographics
NPI:1518309400
Name:CHRISTIAN, KERRI LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KERRI
Middle Name:LYNN
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2846 PORTER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5845
Mailing Address - Country:US
Mailing Address - Phone:719-659-8572
Mailing Address - Fax:
Practice Address - Street 1:2846 PORTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5845
Practice Address - Country:US
Practice Address - Phone:719-659-8572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15876183500000X
NE11310183500000X
MN116949183500000X
KS1-12921183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist