Provider Demographics
NPI:1881983849
Name:KERR, SHERIL (LPN)
Entity type:Individual
Prefix:
First Name:SHERIL
Middle Name:
Last Name:KERR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 S 10TH AVE
Mailing Address - Street 2:APT#2
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-4322
Mailing Address - Country:US
Mailing Address - Phone:347-998-3471
Mailing Address - Fax:914-297-2061
Practice Address - Street 1:9 W PROSPECT AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2018
Practice Address - Country:US
Practice Address - Phone:914-699-0022
Practice Address - Fax:914-699-2154
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301825164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse