Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | MD2012-0750 | NM |
Y | 208800000X | Urologist | MD2012-0750 | NM |
NPI | 1114123593 |
---|---|
Provider Name | Dr. Hannah Ruth Kerr |
First Address | Albuquerque, NM 87102-2372 |
Second Address | Albuquerque, NM 87102-2372 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2007 |
Last Update Date | 07/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
60821876 | (05) | NM |
MD2012-0750 | NM MEDICAL LICENSE (01) | NM |