Provider Demographics
NPI:1922218882
Name:KERR, KEVIN A (RPH)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:A
Last Name:KERR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ANN CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-6007
Mailing Address - Country:US
Mailing Address - Phone:724-463-0288
Mailing Address - Fax:
Practice Address - Street 1:4105 CRAWFORD AVE
Practice Address - Street 2:
Practice Address - City:NORTHERN CAMBRIA
Practice Address - State:PA
Practice Address - Zip Code:15714-1341
Practice Address - Country:US
Practice Address - Phone:814-948-6720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037481L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist