Provider Demographics
NPI:1174981567
Name:NEUBEK, KERRI (LAC)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:NEUBEK
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 N RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-1747
Mailing Address - Country:US
Mailing Address - Phone:267-987-4015
Mailing Address - Fax:
Practice Address - Street 1:122 WOOD ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3634
Practice Address - Country:US
Practice Address - Phone:267-987-4015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000488L171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist