Provider Demographics
NPI:1942207964
Name:KERBS, ROBERT TERRY (DC, CCEP)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TERRY
Last Name:KERBS
Suffix:
Gender:M
Credentials:DC, CCEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 S ROGERS ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72830-9157
Mailing Address - Country:US
Mailing Address - Phone:479-754-2500
Mailing Address - Fax:479-754-3187
Practice Address - Street 1:1130 S ROGERS ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72830-9157
Practice Address - Country:US
Practice Address - Phone:479-754-2500
Practice Address - Fax:479-754-3187
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1571111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5W153OtherBLUE CROSS & BLUE SHIELD
AR7721141OtherAETNA INSURANCE COMPANY
AR19984000040OtherQUAL CHOICE INSURANCE
AR350051959OtherRAILROAD MEDICARE
AR19984000040OtherQUAL CHOICE INSURANCE
ARU20114Medicare UPIN