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Mikaela Kerkman

NPI 1558785394 · on the registry since 2014

Practice

Address
2586 Buthmann Ave
Tracy, CA 95376
Phone
(209) 832-2273
Organisation at this address
Atba, Llc
Evergreen At Tracy, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
225X00000X
225X00000X
Licence states on file
VA, NV, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California