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NPI Code Detail

MEDICARE: MRS. HOLLY-ANN KERR ARNP

MEDICARE: MRS. HOLLY-ANN KERR ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerARNP9175489FL

General Provider Information

NPI Number : 1336471986
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HOLLY-ANN KERR ARNP
Provider Business Mailing Address
First Line : 2809 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-1852
Country : US
Telephone Number : 813-348-9088
Fax Number : 813-348-9310
Provider Business Practice Location Address
First Line : 2809 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-1852
Country : US
Telephone Number : 813-348-9088
Fax Number : 813-348-9310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2010
Last Update Date : 02/16/2010

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