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NPI Code Detail

MEDICARE: MRS. JANE CHRISTINE KERR OTR

MEDICARE: MRS. JANE CHRISTINE KERR OTR
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
1225XP0200XPediatric Occupational Therapist1702175KS

General Provider Information

NPI Number : 1851303382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANE CHRISTINE KERR OTR
Provider Business Mailing Address
First Line : 8427 REDBIRD ST
Second Line :
City : SHAWNEE
State : KS
Zip : 66227-8700
Country : US
Telephone Number : 913-422-8394
Fax Number :
Provider Business Practice Location Address
First Line : 4911 STATE AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-1749
Country : US
Telephone Number : 913-287-8851
Fax Number : 913-287-5431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 07/08/2007

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