Provider Demographics
NPI:1790108181
Name:TOUCHET, KERRY
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:
Last Name:TOUCHET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 ANDERSON HWY
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-7202
Mailing Address - Country:US
Mailing Address - Phone:864-907-4255
Mailing Address - Fax:
Practice Address - Street 1:749 ANDERSON HWY
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642-7202
Practice Address - Country:US
Practice Address - Phone:864-907-4255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula