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NPI Code Detail

MEDICARE: MS. KATHLEEN E KERR RPA-C

MEDICARE: MS. KATHLEEN E KERR RPA-C
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 Assistant005441-1NY

General Provider Information

NPI Number : 1982631826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHLEEN E KERR RPA-C
Provider Business Mailing Address
First Line : 7616 TRANSIT RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-6017
Country : US
Telephone Number : 716-204-2273
Fax Number : 716-817-9905
Provider Business Practice Location Address
First Line : 7616 TRANSIT RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-6017
Country : US
Telephone Number : 716-204-2273
Fax Number : 716-817-9905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 11/05/2010

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