Doctor Name: | DR. ALAN ROBERTSON KERR |
NPI Number: | 1154532398 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C, PSYD |
License Number: | PA06209 |
Business Practice Address: | 105 S Stewart St South Texas Rural Health Service Cotulla, TX - 78014 |
Business Phone Number: | 8308792502 |
Business Fax Number: | |
Mailing Address: | 105 S Stewart St, South Texas Rural Health Service COTULLA |
State: | TX |
Postal Code: | 78014 |
Phone Number: | 8308792502 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2007 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA06209 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |