MEDICARE: MARGIE G. KERR MSW

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	171M00000X	Case Manager/Care Coordinator
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1730533555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGIE G. KERR MSW

Provider Business Mailing Address
First Line	:	8105 E 93RD ST APT 1009
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-5528
Country	:	US
Telephone Number	:	918-313-0208
Fax Number	:

Provider Business Practice Location Address
First Line	:	8105 E 93RD ST APT 1009
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-5528
Country	:	US
Telephone Number	:	918-313-0208
Fax Number	:

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

Provider Enumeration Date	:	04/18/2016
Last Update Date	:	04/03/2023

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