Provider Demographics
NPI:1871712885
Name:GALVAN, KERI A (RN, BSN, LNC)
Entity type:Individual
Prefix:
First Name:KERI
Middle Name:A
Last Name:GALVAN
Suffix:
Gender:F
Credentials:RN, BSN, LNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:842 MONARDA PL
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-6716
Mailing Address - Country:US
Mailing Address - Phone:785-341-2581
Mailing Address - Fax:614-986-7700
Practice Address - Street 1:842 MONARDA PL
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-6716
Practice Address - Country:US
Practice Address - Phone:785-341-2581
Practice Address - Fax:614-986-7700
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH299173163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management