MEDICARE: ROBRET H KERR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP036000L	PA

General Provider Information

NPI Number	:	1649313396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBRET H KERR

Provider Business Mailing Address
First Line	:	4105 CRAWFORD AVE
Second Line	:	PO BOX 1067
City	:	NORTHERN CAMBRIA
State	:	PA
Zip	:	15714-1341
Country	:	US
Telephone Number	:	814-948-6720
Fax Number	:

Provider Business Practice Location Address
First Line	:	4105 CRAWFORD AVE
Second Line	:
City	:	NORTHERN CAMBRIA
State	:	PA
Zip	:	15714-1341
Country	:	US
Telephone Number	:	814-948-6720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	07/08/2007

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Directions to “ ROBRET H KERR ” Practice Location

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