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NPI Code Detail

MEDICARE: KATHLEEN M KERR PA

MEDICARE: KATHLEEN M KERR PA
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
1363A00000XPhysician AssistantMA058401PA

General Provider Information

NPI Number : 1609868736
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN M KERR PA
Provider Business Mailing Address
First Line : 1001 E 2ND ST
Second Line :
City : COUDERSPORT
State : PA
Zip : 16915-8161
Country : US
Telephone Number : 814-274-5243
Fax Number : 716-373-6632
Provider Business Practice Location Address
First Line : 1001 E 2ND ST
Second Line :
City : COUDERSPORT
State : PA
Zip : 16915-8161
Country : US
Telephone Number : 814-274-5243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 04/01/2021

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Directions to “ KATHLEEN M KERR PA” Practice Location

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