Provider Demographics
NPI:1871742734
Name:FRANK, KERRY
Entity type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:
Last Name:FRANK
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 1:249 AUTUMN RUN
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-6702
Mailing Address - Country:US
Mailing Address - Phone:518-356-8066
Mailing Address - Fax:518-356-3952
Practice Address - Street 1:249 AUTUMN RUN
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-6702
Practice Address - Country:US
Practice Address - Phone:518-356-8066
Practice Address - Fax:518-356-3952
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012150-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist