Kristine Ann Kerr
Individual provider Active NPI Specialist · Palisades, NY
NPI 1376927871 · NPPES record last updated Jul 11, 2017
Key facts
- NPI
- 1376927871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 283120 (NY)
- Practice address
- 680 Oak Tree Road
Palisades, NY 10964 - Phone
- (845) 680-1420
- NPI assigned
- Jul 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283120 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 283120 | NY | Yes |
Addresses
Primary practice location
680 Oak Tree Road
Palisades, NY 10964
Mailing address
680 Oak Tree Road
PO Box 716
Palisades, NY 10964
Other providers in Palisades, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.