Kersey, Susan

Kersey, Susan is an individual health care provider with primary practice located at 415 N 26Th St Suite 201, Lafayette IN 47904-2856. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Kersey, Susan can be contacted via phone (765) 446-6535.

Contact Information

Primary practice address
415 N 26Th St Suite 201 Lafayette IN 47904-2856
Phone: (765) 446-6535
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X 70000049A Indiana

Profile Details

NPI number 1871591156
LBN Legal business name Kersey, Susan
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Oct 5th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871591156 NPPES
Indiana MEDICAID 200499630

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