Provider Demographics
NPI:1134297344
Name:KERR, D MACHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:D
Middle Name:MACHELLE
Last Name:KERR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 S GEORGE WASHINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323
Mailing Address - Country:US
Mailing Address - Phone:757-606-1870
Mailing Address - Fax:757-606-1872
Practice Address - Street 1:164 S GEORGE WASHINGTON HWY
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323
Practice Address - Country:US
Practice Address - Phone:757-606-1870
Practice Address - Fax:757-606-1872
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
4657152OtherAETNA
10384080OtherCAQH
VA350000601OtherMEDICARE ID
VA042725OtherANTHEM BLUE CROSS
1790973OtherCIGNA
44-00363OtherUNITED HEALTH CARE