Provider Demographics
NPI:1093772816
Name:KERR, NATALIE C (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:C
Last Name:KERR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:66 N PAULINE ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-5105
Mailing Address - Country:US
Mailing Address - Phone:901-448-7642
Mailing Address - Fax:901-448-8015
Practice Address - Street 1:930 MADISON AVE STE 400
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-7400
Practice Address - Country:US
Practice Address - Phone:901-287-7337
Practice Address - Fax:901-448-1813
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2020-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN21896207WX0110X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3082477Medicaid
F30198Medicare UPIN
TN3082477Medicaid