Healthcare Provider Details

I. General information

NPI: 1295996965
Provider Name (Legal Business Name): MILLER JAMES KERR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CONSTITUTION BLVD STE 202
SALINAS CA
93906-3127
US

IV. Provider business mailing address

27755 MESA DEL TORO RD
SALINAS CA
93908-8943
US

V. Phone/Fax

Practice location:
  • Phone: 831-796-1700
  • Fax: 831-769-0552
Mailing address:
  • Phone: 215-313-5766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA153007
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: