Dr. Kerrith Lyn Jaeckel
M.D. | Pediatrics | Female
Dr. Kerrith Lyn Jaeckel, M.D. is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kerrith Lyn Jaeckel is
14215 Ballantyne Corporate Pl, Suite 130, Charlotte, North Carolina - 28277-3671. She can be contacted on phone at
704-384-1950 and fax number 704-384-1955.
Dr. Kerrith Lyn Jaeckel is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kerrith Lyn Jaeckel is
1508828054 which was assigned by NPPES on 03 Apr, 2006 and it was last updated on 07 Mar, 2023.
Dr. Kerrith Lyn Jaeckel license number is
9700294 for Pediatrics (208000000X) in North Carolina.
Dr. Kerrith Lyn Jaeckel is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kerrith Lyn Jaeckel basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kerrith Lyn Jaeckel |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Kerrith Lyn Jaeckel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 14215 Ballantyne Corporate Pl, Suite 130
Charlotte, NC, 28277-3671
United States |
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| Phone Number : | 704-384-1950 |
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| Fax Number : | 704-384-1955 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1508828054 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Apr, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kerrith Lyn Jaeckel are as mentioned. Primary taxonomy code for Dr. Kerrith Lyn Jaeckel, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 9700294 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kerrith Lyn Jaeckel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2280366 | MEDICARE ID-Type Unspecified | NC | |
| 891050R | MEDICAID | NC | |
| G22836 | MEDICARE UPIN | NC | |
| N00295 | MEDICAID | SC | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | kjaeckel14598@direct.novanthealth.org
| No affiliation |
|
| 14215 Ballantyne Corporate Pl, Suite 130
Charlotte, NC, 28277-3671
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 60447
Charlotte, NC, 28260-0447
United States |
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| Phone Number : | 704-384-1950 |
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| Fax Number : | 704-384-1955 |
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Business Location:
Patients can refer following map for directions to
Dr. Kerrith Lyn Jaeckel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.