Basic Information
Provider Information
NPI: 1801203575
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMON
FirstName: KERRY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13830 SAWYER RANCH RD
Address2: STE 102
City: DRIPPING SPRINGS
State: TX
PostalCode: 786205514
CountryCode: US
TelephoneNumber: 5123016400
FaxNumber: 5123016401
Practice Location
Address1: 13830 SAWYER RANCH RD
Address2: STE 102
City: DRIPPING SPRINGS
State: TX
PostalCode: 786205514
CountryCode: US
TelephoneNumber: 5123016400
FaxNumber: 5123016401
Other Information
ProviderEnumerationDate: 07/15/2014
LastUpdateDate: 02/14/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP125811TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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