Doctor Name: | CLIFTON DUANE KERR |
NPI Number: | 1740420835 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 146197-1205 |
Business Practice Address: | 725 West 1000 North Tremonton, UT - 84337 |
Business Phone Number: | 4352575542 |
Business Fax Number: | |
Mailing Address: | 725 West 1000 North, TREMONTON |
State: | UT |
Postal Code: | 84337 |
Phone Number: | 4352575542 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2009 |
NPI Last Update Date: | 03/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 146197-1205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |