Provider Demographics
NPI:1689451262
Name:KERR, ERIN ANNE (RD, LD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ANNE
Last Name:KERR
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ANNE
Other - Last Name:COPLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD
Mailing Address - Street 1:158 CARMARTHEN WAY
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-1074
Mailing Address - Country:US
Mailing Address - Phone:740-415-8771
Mailing Address - Fax:
Practice Address - Street 1:158 CARMARTHEN WAY
Practice Address - Street 2:
Practice Address - City:GRANVILLE
Practice Address - State:OH
Practice Address - Zip Code:43023-1074
Practice Address - Country:US
Practice Address - Phone:740-415-8771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.08235133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered