Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 35-036774 | OH |
NPI | 1427074822 |
---|---|
Provider Name | Douglas S Kerr |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 06/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000028319 | ANTHEM (01) | OH |
000000221394 | UNISON (01) | OH |
000000526035 | ANTHEM (01) | OH |
0316974 | (05) | OH |
316974 | BCMH (01) | OH |
363696 | WELLCARE (01) | OH |
639845 | AETNA (01) | OH |
724082 | BUCKEYE (01) | OH |
A83647 | (02) | OH |
P00632600 | RAILROAD MEDICARE (01) | OH |