Provider Demographics
NPI:1982230454
Name:W.E. K.E.R.R.
Entity Type:Organization
Organization Name:W.E. K.E.R.R.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-373-3815
Mailing Address - Street 1:2403 WOOTEN BLVD SW STE H
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-4463
Mailing Address - Country:US
Mailing Address - Phone:252-373-3815
Mailing Address - Fax:252-296-8072
Practice Address - Street 1:2403 WOOTEN BLVD SW STE H
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4463
Practice Address - Country:US
Practice Address - Phone:252-373-3815
Practice Address - Fax:252-296-8072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health