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Matthew Kerwin Church, CNA
Military Health Care Provider in Deland, Florida
NPI 1245881994

Matthew Kerwin Church is a Military Health Care Provider based in Deland, FL. Matthew Kerwin Church practices in Deland, FL and has the professional credentials of CNA. The NPI Number for Matthew Kerwin Church is 1245881994 and holds a License No. CNA304003 (Florida).

The current practice location address for Matthew Kerwin Church is 2020 Glenwood Hammock Rd, Deland, FL and can be reached out via phone at 386-337-7360.

Location: 2020 Glenwood Hammock Rd, Deland, FL, 32720-3805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245881994
Provider Name
Matthew Kerwin Church
Credential
CNA
Provider Entity Type
Individual
Gender
Male
Address
2020 Glenwood Hammock Rd, Deland, FL, 32720-3805
Phone Number
386-337-7360
Fax Number
Provider Enumeration Date
09/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2020 Glenwood Hammock Rd
City
Deland
State
Florida
Zip
32720-3805
Phone Number
386-337-7360
Fax Number
person
Provider Business Mailing Address Details
Address
2020 Glenwood Hammock Rd
City
Deland
State
Florida
Zip
32720-3805
Phone Number
386-337-7360
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
CNA304003 (Florida)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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