Healthcare Provider Details

I. General information

NPI: 1083931331
Provider Name (Legal Business Name): ROBIN KERR APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 08/27/2020
Certification Date: 08/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 SIDNEY ST STE 300
BATESVILLE AR
72501-7201
US

IV. Provider business mailing address

16 HOSPITAL CIR STE A
BATESVILLE AR
72501-7343
US

V. Phone/Fax

Practice location:
  • Phone: 870-793-1126
  • Fax: 870-793-1180
Mailing address:
  • Phone: 870-262-5545
  • Fax: 870-262-3253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA03370
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: