Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 64117 | MN |
N | 208000000X | Pediatrician | 28656 | MN |
N | 208000000X | Pediatrician | 64117 | MN |
NPI | 1154858579 |
---|---|
Provider Name | Alyssa Kerber |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2017 |
Last Update Date | 01/07/2021 |