Provider Demographics
NPI:1558818294
Name:BROWNING, KERI (LMT)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:
Last Name:BROWNING
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 263
Mailing Address - Street 2:
Mailing Address - City:WILKINSON
Mailing Address - State:WV
Mailing Address - Zip Code:25653-0263
Mailing Address - Country:US
Mailing Address - Phone:304-928-9879
Mailing Address - Fax:
Practice Address - Street 1:294 SHAWNEE CIR
Practice Address - Street 2:
Practice Address - City:MONAVILLE
Practice Address - State:WV
Practice Address - Zip Code:25601-9631
Practice Address - Country:US
Practice Address - Phone:304-928-9879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2010-2692174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist