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Contact Information

JEFFERY A KERR, DO
1000 GW LN
WAYNESVILLE, MO65583-2339
 Phone: 573-842-4116
 Fax: 573-433-2008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JEFFERY A KERR · (Male)

NPI Number 1831152370
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/07/2006
Last updated 08/22/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # MOR8F45
  • MO Medicaid 242285732
  • MO Other 1447412770 RH MEDICAID (CLINIC)
  • MO Other 26-8630 RH MEDICARE
Hospital affiliation(s)
  • PHELPS COUNTY REGIONAL MEDICAL CENTER - (Acute Care)
    1000 W 10TH ST
    ROLLA, MO 65401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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