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1669460515

NPI Code Detail

MEDICARE: MICHAEL K KERR MD

MEDICARE: MICHAEL K KERR MD

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	207P00000X	Emergency Medicine Physician	S0050410	MD
2	207P00000X	Emergency Medicine Physician	0101054572	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0032	OTHER		CAREFIRST

General Provider Information

NPI Number	:	1669460515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL K KERR MD

Provider Business Mailing Address
First Line	:	1300 PICCARD DR
Second Line	:	SUITE 202
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-4303
Country	:	US
Telephone Number	:	301-921-7900
Fax Number	:	301-921-7915

Provider Business Practice Location Address
First Line	:	18101 PRINCE PHILIP DR
Second Line	:	MONTGOMERY GENERAL HOSPITAL
City	:	OLNEY
State	:	MD
Zip	:	20832-1514
Country	:	US
Telephone Number	:	301-774-8900
Fax Number	:	301-570-8574

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

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	06/11/2008

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Directions to “ MICHAEL K KERR MD” Practice Location

Language	Start Address	Practice Location

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