Provider Demographics
NPI:1841661600
Name:TORRANCE, KERRI
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:TORRANCE
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 1:620 PROCTER PL
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-2520
Mailing Address - Country:US
Mailing Address - Phone:405-448-8654
Mailing Address - Fax:
Practice Address - Street 1:3945 SE 15TH ST
Practice Address - Street 2:SUITE 107
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-2249
Practice Address - Country:US
Practice Address - Phone:405-208-8886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator