Shum, Kerry Catherine
Shum, Kerry Catherine is an individual health care provider with primary practice located at 2100 Stantonsburg Rd , Greenville NC 27834-2818. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Shum, Kerry Catherine can be contacted via phone (252) 744-5871.Contact Information
Primary practice address
2100 Stantonsburg Rd
Greenville NC 27834-2818
Phone: (252) 744-5871
Fax: (252) 744-5759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 2017-01856 | North Carolina |
Profile Details
| NPI number | 1396971776 |
|---|---|
| LBN Legal business name | Shum, Kerry Catherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2009 |
| Last updated | Mar 6th, 2024 - about 2 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 | 1396971776 | NPPES |
| North Carolina | Other | NCZ189A | MEDICARE |
| North Carolina | MEDICAID | 1396971776 | MEDICARE |
| North Carolina | Other | 19RDM | MEDICARE |
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