Provider Demographics
NPI:1689872517
Name:BELL, KERRI RUDIN (MED, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:RUDIN
Last Name:BELL
Suffix:
Gender:F
Credentials:MED, CCC-A
Other - Prefix:MISS
Other - First Name:KERRI
Other - Middle Name:ANN
Other - Last Name:RUDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5212 TURNING BRANCH WAY
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-7533
Mailing Address - Country:US
Mailing Address - Phone:804-360-1803
Mailing Address - Fax:804-364-9681
Practice Address - Street 1:5212 TURNING BRANCH WAY
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-7533
Practice Address - Country:US
Practice Address - Phone:804-360-1803
Practice Address - Fax:804-364-9681
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000594231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist