Provider Demographics
NPI:1952523839
Name:KERR, MAHLON ALDER (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHLON
Middle Name:ALDER
Last Name:KERR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7700 CAT HOLLOW DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5796
Mailing Address - Country:US
Mailing Address - Phone:512-244-1444
Mailing Address - Fax:512-244-1445
Practice Address - Street 1:7700 CAT HOLLOW DR
Practice Address - Street 2:SUITE 103
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5796
Practice Address - Country:US
Practice Address - Phone:512-244-1444
Practice Address - Fax:512-244-1445
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2015-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN51522086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery