Provider Demographics
NPI:1487988572
Name:NESBITT, KERRIE LEIGH (AUD)
Entity type:Individual
Prefix:DR
First Name:KERRIE
Middle Name:LEIGH
Last Name:NESBITT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2984 US ROUTE 11
Mailing Address - Street 2:APARTMENT J37
Mailing Address - City:LA FAYETTE
Mailing Address - State:NY
Mailing Address - Zip Code:13084-9627
Mailing Address - Country:US
Mailing Address - Phone:315-416-2486
Mailing Address - Fax:
Practice Address - Street 1:221 BROAD ST
Practice Address - Street 2:SUITE 201
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2178
Practice Address - Country:US
Practice Address - Phone:315-363-3310
Practice Address - Fax:315-363-5472
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002278-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist