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NPI Code Detail

MEDICARE: MS. ALTHEA NOREEN KERR NP

MEDICARE:  MS. ALTHEA NOREEN KERR  NP
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
1363LF0000XFamily Nurse PractitionerF345297NY

General Provider Information

NPI Number : 1548864846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALTHEA NOREEN KERR NP
Provider Business Mailing Address
First Line : 50 S B B KING BLVD # 100
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2626
Country : US
Telephone Number : 901-436-1381
Fax Number :
Provider Business Practice Location Address
First Line : 4722 AVENUE K
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-2112
Country : US
Telephone Number : 347-693-6121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2020
Last Update Date : 08/04/2022

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