Kathryn W Kerkering, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

200201596 Issued in NC

Practice address

1030 S Jefferson St Ste 201
Roanoke, VA 24016-4418

Phone

(540) 224-4520

NPI assigned

Aug 19, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1528050044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 GROVE HILL RD",
            "city": "FINCASTLE",
            "state": "VA",
            "postal_code": "240903390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S JEFFERSON ST STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164418",
            "telephone_number": "540-224-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERKERING",
        "first_name": "KATHRYN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NC",
            "license": "200201596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00002731",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1329W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891329W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick William Kenney, NP
• Taryn Nicole Kenney, PA
• Eileen C Kenny, MD
• Elizabeth Claire Kent, CCC-SLP
• Grace Ellen Kent, LCSW
• Thomas M Kerkering, MD
• Natalie Anne Kerschner
• Vivek Kesar, MD
• Jeffrey S. Kessel, M.D.
• Kellie Marie Kessel, PHARMD

• Developmental - Behavioral Pediatrics Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Developmental - Behavioral Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.