Evelyn Kerby
Individual provider Active NPI Attendant Care Provider · Fair Grove, MO
NPI 1831748755 · NPPES record last updated May 6, 2020
Key facts
- NPI
- 1831748755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 2693 E. State Hwy KK
Fair Grove, MO 65648 - Phone
- (314) 652-4100
- NPI assigned
- Sep 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
2693 E. State Hwy KK
Fair Grove, MO 65648
Mailing address
2693 E. State Hwy KK
Fair Grove, MO 65648
Other providers in Fair Grove, MO
- Kathy L. Brite
- Fair Grove R-X
- Family Pharmacy of Missouri LLC
- Shawna Sue Gulick
- Heartland LLC
- Kayce Knaup
- Katie Larue
- Michael Lentz
- Lester E Cox Medical Centers
- Emma Letterman
All providers in Fair Grove, MO · Attendant Care Provider in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.