Provider Demographics
NPI:1376665307
Name:KERR, RUTHANN WARNELL (MD)
Entity type:Individual
Prefix:DR
First Name:RUTHANN
Middle Name:WARNELL
Last Name:KERR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 E LINCOLN AVE
Mailing Address - Street 2:RY 59-10, P.O. BOX 2000
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-4607
Mailing Address - Country:US
Mailing Address - Phone:732-594-7663
Mailing Address - Fax:732-594-3548
Practice Address - Street 1:126 E LINCOLN AVE
Practice Address - Street 2:RY 59-10
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-4607
Practice Address - Country:US
Practice Address - Phone:732-594-7663
Practice Address - Fax:732-594-3548
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 051883207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine