Provider Demographics
NPI:1336039692
Name:KERR, RALEXIS BUCK
Entity type:Individual
Prefix:MRS
First Name:RALEXIS
Middle Name:BUCK
Last Name:KERR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LUCKY DAY DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-6989
Mailing Address - Country:US
Mailing Address - Phone:843-214-1413
Mailing Address - Fax:
Practice Address - Street 1:101 LUCKY DAY DR
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-6989
Practice Address - Country:US
Practice Address - Phone:843-214-1413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy