Healthcare Provider Details

I. General information

NPI: 1114123593
Provider Name (Legal Business Name): HANNAH RUTH KERR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH RUTH CHOATE

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 THOMAS LN STE 4C
COLUMBUS OH
43214-3902
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-533-3034
  • Fax: 614-533-0177
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number35.140841
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberMD2012-0750
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number35.140841
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD2012-0750
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: