Provider Demographics
NPI:1710271200
Name:KERR, PATRICK E (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:E
Last Name:KERR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 PARK AVE
Mailing Address - Street 2:1 B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3840
Mailing Address - Country:US
Mailing Address - Phone:212-689-1303
Mailing Address - Fax:212-689-5862
Practice Address - Street 1:20 PARK AVE
Practice Address - Street 2:1 B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3840
Practice Address - Country:US
Practice Address - Phone:212-689-1303
Practice Address - Fax:212-689-5862
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007900111N00000X
CT001723111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor