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General NPI Number Information
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NPI Number | 1407052780
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Entity Type | Individual
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Provider Name | KEVIN ANDREW KERR M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 150 RIVER NORTH BLVD STE A
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City | STEPHENVILLE
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State | TX
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Zip | 76401-1861
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Country | US
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Telephone | 254-968-6051
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Fax | 254-968-4950
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Provider Business Mailing Address
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Address Line | 150 RIVER NORTH BLVD
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City | STEPHENVILLE
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State | TX
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Zip | 76401-1803
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Country | US
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Telephone | 254-968-6051
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Fax | 254-968-4950
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25850
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10028407
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | N9883
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License Number State | TX
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