Provider Demographics
NPI:1558515890
Name:KERR, KATHLEEN B (MSN; APRN, CNS)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:B
Last Name:KERR
Suffix:
Gender:F
Credentials:MSN; APRN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1523 PRIPET WOOD LN
Mailing Address - Street 2:
Mailing Address - City:ISLESBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04848-4272
Mailing Address - Country:US
Mailing Address - Phone:207-542-6082
Mailing Address - Fax:
Practice Address - Street 1:1523 PRIPET WOOD LN
Practice Address - Street 2:
Practice Address - City:ISLESBORO
Practice Address - State:ME
Practice Address - Zip Code:04848-4272
Practice Address - Country:US
Practice Address - Phone:207-542-6082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAS114002163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult