Provider Demographics
NPI:1649313396
Name:KERR, ROBRET H
Entity type:Individual
Prefix:
First Name:ROBRET
Middle Name:H
Last Name:KERR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 CRAWFORD AVE
Mailing Address - Street 2:PO BOX 1067
Mailing Address - City:NORTHERN CAMBRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15714-1341
Mailing Address - Country:US
Mailing Address - Phone:814-948-6720
Mailing Address - Fax:
Practice Address - Street 1:4105 CRAWFORD AVE
Practice Address - Street 2:
Practice Address - City:NORTHERN CAMBRIA
Practice Address - State:PA
Practice Address - Zip Code:15714-1341
Practice Address - Country:US
Practice Address - Phone:814-948-6720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036000L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist