Provider Demographics
NPI:1487348215
Name:LEMOINE, KERRIGAN BAIRD (DO)
Entity type:Individual
Prefix:
First Name:KERRIGAN
Middle Name:BAIRD
Last Name:LEMOINE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KERRIGAN
Other - Middle Name:ANDERSEN
Other - Last Name:BAIRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5564 COBBLE LN
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-8441
Mailing Address - Country:US
Mailing Address - Phone:734-972-0351
Mailing Address - Fax:
Practice Address - Street 1:5501 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5503
Practice Address - Country:US
Practice Address - Phone:956-362-8677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10086149208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery