DR. KERRY WAYNE LYNCH (NPI# 1043239676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043239676 |
| Entity Type | Individual |
| Full Name | DR. KERRY WAYNE LYNCH |
| Credential | PH.D. |
| Practice Address |
8380 North St. Ixonia WI 53036 |
| Mailing Address |
5000 W National Ave Milwaukee WI 53295-0001 |
| Practice Telephone | 2625690811 |
| Mailing Telephone | 4143842000 |
| Mailing Fax Number | 4143825298 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1458057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | PSYCHOLOGIST | 14580057 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346594975 | Kerry Jo Lynch | Licensed Practical Nurse | 23 Pierce St, Rochester, MA 02770-4025 | 2012-11-05 |
| 1215211354 | Kerry Marie Lynch | Audiologist | 215 N Main St, Building 1, Third Floor, Room 330, White River Junction, VT 05009-0001 | 2011-10-07 |
| 1831349034 | Kerry A Lynch | Physical Therapist | 10909 I-10 East Freeway, Houston, TX 77029 | 2008-09-24 |
| Street Address |
8380 NORTH ST. |
| City | IXONIA |
| State | WI |
| Zip Code | 53036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669961124 | Duffy David Eberhardt | Emergency Medical Technician, Basic | N7936 Woody Ln, Ixonia, WI 53036-9479 | 2018-05-09 |
| 1003458472 | Angela Lynn Bubnick | Registered Nurse | W1011 Hunter Ln, Ixonia, WI 53036-9482 | 2019-10-17 |
| 1538110515 | Linda Olson Douglas | Family Medicine | W1046 Marietta Ave, Suite 230, Ixonia, WI 53036-9498 | 2006-05-13 |
| 1033398664 | Watertown Regional Medical Center Inc | Family Medicine | W1046 Marietta Ave, Ste 230, Ixonia, WI 53036-9498 | 2007-10-31 |
| 1851797070 | Kim Michele Jaeger | Counselor | N372 Lincoln Rd, Ixonia, WI 53036-9508 | 2014-11-16 |
| 1730133299 | Town of Ixonia | Ambulance | N8320 North St, Ixonia, WI 53036-9710 | 2006-05-20 |
| 1376956367 | Jennifer Michele Gates | Licensed Practical Nurse | W2093 Gary Ln, Ixonia, WI 53036-9724 | 2014-06-06 |
| 1215476874 | Beth Marie Pape | Registered Nurse | N8832 Leiger Ln, Ixonia, WI 53036-9726 | 2017-02-15 |
| 1598925992 | Amy L Lauersdorf | Licensed Practical Nurse | N9163 Ski Slide Rd, Ixonia, WI 53036-9767 | 2008-06-10 |
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629607619 | Eleanor Arlene Tidball | Psychologist | 13320 W Grange Ave, New Berlin, WI 53151-8131 | 2020-04-02 |
| 1134769441 | Graham Gardner Knowlton | Psychologist | Milwaukee Vamc 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-01-14 |
| 1477197929 | Samuel David Lustgarten | Psychologist | 1025 W Johnson St Rm 303b, Madison, WI 53706-1706 | 2019-10-28 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1770133555 | Kerrin Sendrowitz O'connor | Psychologist | 1509 S Outagamie St, Appleton, WI 54914-5580 | 2019-09-13 |
| 1982193546 | Samantha Jo Schwartz-oscar | Psychologist | 2809 School Rd, Greenleaf, WI 54126-9209 | 2018-05-08 |
| 1790202851 | Wisconsin Lutheran Child & Family Service | Psychologist | 2669 N Richards St, Milwaukee, WI 53212-2850 | 2017-08-29 |
| 1902337785 | Carla Mae Davey | Psychologist | 333 E Campus Mall Rm 7, University Health Services, Madison, WI 53715-1740 | 2017-03-23 |
| 1558739300 | Hayley Shilling | Psychologist | 6602 Grand Teton Plz Ste 100, Madison, WI 53719-2905 | 2015-09-10 |
| 1568850840 | Belinda Gutierrez | Psychologist | 2500 Overlook Terrace, 116b, William S. Middleton Memorial Veterans Hospital, Madison, WI 53705-2286 | 2015-01-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.