Provider Demographics
NPI:1801057468
Name:KERR PATRICK, MICHELLE JEAN (DC)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:JEAN
Last Name:KERR PATRICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 HILLCREST RD
Mailing Address - Street 2:SUITE 1-F
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-4044
Mailing Address - Country:US
Mailing Address - Phone:251-289-1482
Mailing Address - Fax:
Practice Address - Street 1:1110 HILLCREST RD
Practice Address - Street 2:SUITE 1-F
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-4044
Practice Address - Country:US
Practice Address - Phone:251-289-1482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor