Provider Demographics
NPI:1760891071
Name:KERR, RITA HUSPEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:HUSPEN
Last Name:KERR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10877 CONDUCTOR BLVD
Mailing Address - Street 2:
Mailing Address - City:SUTTER CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:95685-9687
Mailing Address - Country:US
Mailing Address - Phone:209-223-6407
Mailing Address - Fax:209-267-9808
Practice Address - Street 1:10877 CONDUCTOR BLVD
Practice Address - Street 2:
Practice Address - City:SUTTER CREEK
Practice Address - State:CA
Practice Address - Zip Code:95685-9687
Practice Address - Country:US
Practice Address - Phone:209-223-6407
Practice Address - Fax:209-267-9808
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG72170207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine