Doctor Name: | DR. KIMBERLY A KERR-KNOTT |
NPI Number: | 1619907821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 01061045A |
Business Practice Address: | 828 Carolee Cir Biloxi, MS - 395324223 |
Business Phone Number: | 2283880085 |
Business Fax Number: | |
Mailing Address: | 828 Carolee Cir, BILOXI |
State: | MS |
Postal Code: | 395324223 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 06/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01061045A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |