Provider Demographics
NPI:1851317473
Name:KERR, ALLISON ELISE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:ELISE
Last Name:KERR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10403 HOSPITAL DR STE G7
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3138
Mailing Address - Country:US
Mailing Address - Phone:301-856-7445
Mailing Address - Fax:240-244-1277
Practice Address - Street 1:10403 HOSPITAL DR STE G7
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3138
Practice Address - Country:US
Practice Address - Phone:301-856-7445
Practice Address - Fax:240-244-1277
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2020-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DC092823900207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD418919100Medicaid
DC092823900Medicaid
MD1780912022Medicaid
MD1851317473Medicaid