Provider Demographics
NPI:1861090078
Name:KERR, KATHLEEN
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
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 1:2480 JOYCE LN
Mailing Address - Street 2:
Mailing Address - City:OKEANA
Mailing Address - State:OH
Mailing Address - Zip Code:45053-9746
Mailing Address - Country:US
Mailing Address - Phone:513-324-6685
Mailing Address - Fax:
Practice Address - Street 1:2480 JOYCE LN
Practice Address - Street 2:
Practice Address - City:OKEANA
Practice Address - State:OH
Practice Address - Zip Code:45053-9746
Practice Address - Country:US
Practice Address - Phone:513-324-6685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No347C00000XTransportation ServicesPrivate Vehicle