Basic Information
| Provider Information | |||||||||
| NPI: | 1437769635 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GERDING | ||||||||
| FirstName: | KERRI | ||||||||
| MiddleName: | |||||||||
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| OtherLastName: | HOVEST | ||||||||
| OtherFirstName: | KERRI | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1001 BELLEFONTAINE AVE | ||||||||
| Address2: | |||||||||
| City: | LIMA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 458042800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4199984575 | ||||||||
| FaxNumber: | 4199984586 | ||||||||
| Practice Location | |||||||||
| Address1: | 322 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | RUSSELLS POINT | ||||||||
| State: | OH | ||||||||
| PostalCode: | 433489601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9378422318 | ||||||||
| FaxNumber: | 9378422414 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2020 | ||||||||
| LastUpdateDate: | 10/13/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/13/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | APRN.CNP.0026745 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.