Healthcare Provider Details

I. General information

NPI: 1396661617
Provider Name (Legal Business Name): AIDAN MARIE KERR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 S CENTRE CITY PKWY STE F
ESCONDIDO CA
92025-6544
US

IV. Provider business mailing address

1835 S CENTRE CITY PKWY STE F
ESCONDIDO CA
92025-6544
US

V. Phone/Fax

Practice location:
  • Phone: 760-480-2266
  • Fax:
Mailing address:
  • Phone: 760-480-2266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number9251
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: