Provider Demographics
NPI:1538164058
Name:KERR, DAVID JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JAMES
Last Name:KERR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4545 E 9TH AVE
Mailing Address - Street 2:STE 470
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3917
Mailing Address - Country:US
Mailing Address - Phone:303-320-6400
Mailing Address - Fax:303-320-0298
Practice Address - Street 1:4545 E 9TH AVE
Practice Address - Street 2:STE 470
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3917
Practice Address - Country:US
Practice Address - Phone:303-320-6400
Practice Address - Fax:303-320-0298
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COCO20997207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO49051Medicare ID - Type Unspecified
D05110Medicare UPIN