Provider Demographics
NPI:1023794609
Name:TURGEON, KERRY L
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:L
Last Name:TURGEON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 C SPAULDING ST
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:MA
Mailing Address - Zip Code:01469
Mailing Address - Country:US
Mailing Address - Phone:978-727-2618
Mailing Address - Fax:
Practice Address - Street 1:16 C SPAULDING ST
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:MA
Practice Address - Zip Code:01469
Practice Address - Country:US
Practice Address - Phone:978-727-2618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA360LN164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse