MEDICARE: KIMBERLY NORRIS KERR MPT

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
1	225100000X	Physical Therapist	18527	MD

General Provider Information

NPI Number	:	1609920388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY NORRIS KERR MPT

Provider Business Mailing Address
First Line	:	PO BOX 32
Second Line	:
City	:	SEVERNA PARK
State	:	MD
Zip	:	21146-0032
Country	:	US
Telephone Number	:	443-822-3959
Fax Number	:

Provider Business Practice Location Address
First Line	:	1013 BAY RIDGE AVE STE 410
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21403-3031
Country	:	US
Telephone Number	:	443-822-3959
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	03/17/2018

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Directions to “ KIMBERLY NORRIS KERR MPT” Practice Location

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