Provider Demographics
NPI:1356535439
Name:KERR, KRISTIN DRU (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:DRU
Last Name:KERR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2516 DONNELLY DRIVE
Mailing Address - Street 2:KRISTIN D. KERR, M.D., P.A.
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-2518
Mailing Address - Country:US
Mailing Address - Phone:561-967-2972
Mailing Address - Fax:561-967-2972
Practice Address - Street 1:2516 DONNELLY DRIVE
Practice Address - Street 2:KRISTIN D. KERR, M.D., P.A.
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-2518
Practice Address - Country:US
Practice Address - Phone:561-967-2972
Practice Address - Fax:561-967-2972
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0039026207P00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL62461OtherBLUECROSS/BLUESHIELD