Healthcare Provider Details

I. General information

NPI: 1114902988
Provider Name (Legal Business Name): RHONDA MARIE KERR R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 E 61ST AVE
SPOKANE WA
99223-6910
US

IV. Provider business mailing address

511 W 25TH AVE
SPOKANE WA
99203-1809
US

V. Phone/Fax

Practice location:
  • Phone: 509-994-9476
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00020209
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH00020209
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: