Healthcare Provider Details

I. General information

NPI: 1003343583
Provider Name (Legal Business Name): ALICIA MARIE KERR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALICIA MARIE ALEARDI M.D.

II. Dates (important events)

Enumeration Date: 05/16/2017
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3455 KNIGHTON RD
REDDING CA
96002
US

IV. Provider business mailing address

3455 KNIGHTON RD
REDDING CA
96002
US

V. Phone/Fax

Practice location:
  • Phone: 530-226-7675
  • Fax:
Mailing address:
  • Phone: 530-226-7675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301500450
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4351030470
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: