Kercheval, Deborah
Kercheval, Deborah is an individual health care provider with primary practice located at 322 N Main St , Kokomo IN 46901-4622. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Kercheval, Deborah can be contacted via phone (765) 453-8238.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 01042031 | Indiana |
Profile Details
| NPI number | 1316045768 |
|---|---|
| LBN Legal business name | Kercheval, Deborah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Dec 31st, 2008 - about 17 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 | 1316045768 | NPPES |
| Indiana | MEDICAID | 20012850 |
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