Provider Demographics
NPI:1720506272
Name:KERR, WESLEY T (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:T
Last Name:KERR
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3471 5TH AVE STE 810
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3206
Mailing Address - Country:US
Mailing Address - Phone:412-692-4920
Mailing Address - Fax:412-692-4907
Practice Address - Street 1:3471 5TH AVE STE 810
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3206
Practice Address - Country:US
Practice Address - Phone:412-692-4920
Practice Address - Fax:412-692-4907
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1583482084N0400X
INCV21029902084N0400X
MI43015036342084N0400X
390200000X
PAMD4812432084E0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084E0001XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyEpilepsy
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program