Provider Demographics
NPI:1235597337
Name:KERBER, ALICE S (MN, APRN, AGN-BC)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:S
Last Name:KERBER
Suffix:
Gender:F
Credentials:MN, APRN, AGN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 HURT PLZ SE
Mailing Address - Street 2:SUITE 704
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-2946
Mailing Address - Country:US
Mailing Address - Phone:404-584-1178
Mailing Address - Fax:404-809-4496
Practice Address - Street 1:50 HURT PLZ SE
Practice Address - Street 2:SUITE 704
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-2946
Practice Address - Country:US
Practice Address - Phone:404-584-1178
Practice Address - Fax:404-809-4496
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN056393163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology