Herdt, Kerry A

Herdt, Kerry A is an individual health care provider with primary practice located at 505 W Homer St , Salem IN 47167-1698. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Herdt, Kerry A can be contacted via phone (812) 883-8772.

Contact Information

Primary practice address
505 W Homer St Salem IN 47167-1698
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01031253 Indiana

Profile Details

NPI number 1386685725
LBN Legal business name Herdt, Kerry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 27th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386685725 NPPES
Indiana MEDICAID 100330740

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