Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | ||
Y | 222Z00000X | Podiatrist | ||
N | 225000000X | Orthotic Fitter |
NPI | 1154432961 |
---|---|
Provider Name | Mr. Stanley V Kerr JR. |
First Address | Louisville, KY 40228-2300 |
Second Address | Louisville, KY 40206-1433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 11/01/2010 |