MEDICARE: SHERYL ANN KERR MS RD LD

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	133V00000X	Registered Dietitian	DT04082	TX
2	163W00000X	Registered Nurse	860494	TX

General Provider Information

NPI Number	:	1679687578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERYL ANN KERR MS RD LD

Provider Business Mailing Address
First Line	:	8001 S US HIGHWAY 75
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75090-5707
Country	:	US
Telephone Number	:	903-532-1400
Fax Number	:	903-532-1401

Provider Business Practice Location Address
First Line	:	8001 S US HIGHWAY 75
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75090-5707
Country	:	US
Telephone Number	:	903-532-1400
Fax Number	:	903-532-1401

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	12/15/2020

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