Kerry Ahearn

Individual provider Active NPI Community Health Worker · Martinez, CA

NPI 1003693201 · NPPES record last updated Sep 11, 2023

Key facts

NPI
1003693201
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
1350 Arnold Dr Ste 102
Martinez, CA 94553-4190
Phone
(844) 844-5544
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

1350 Arnold Dr Ste 102
Martinez, CA 94553-4190

Mailing address

2741 Golden Rain Rd Apt 5
Walnut Creek, CA 94595-1946
Phone (925) 917-3474

Other providers in Martinez, CA

All providers in Martinez, CA · Community Health Worker in California

Sources for this page

Verify at the official NPI Registry.