Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 34-00-2892-K | OH |
Y | 2086S0105X | Surgery of the Hand | 34.002892 | OH |
NPI | 1457334948 |
---|---|
Provider Name | Dr. Charles D Kerr |
First Address | Westerville, OH 43081-1329 |
Second Address | Westerville, OH 43081-1329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 12/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0556769 | (05) | OH |
E78785 | (02) | OH |