Councilman, Kerry
Councilman, Kerry is an individual health care provider with primary practice located at 1348 Ne Cushing Dr , Bend OR 97701-3876. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Councilman, Kerry can be contacted via phone (541) 382-7696.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 48166 | Colorado |
Profile Details
| NPI number | 1497904452 |
|---|---|
| LBN Legal business name | Councilman, Kerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2008 |
| Last updated | Jan 24th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497904452 | NPPES |
| Colorado | MEDICAID | 20824713 |
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