Individual
RYAN KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 TIJERAS AVE NE APT 312, ALBUQUERQUE, NM 87102-4484
(703) 674-7064
Mailing address
300 TIJERAS AVE NE APT 312, ALBUQUERQUE, NM 87102-4484
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
80410
NM
363L00000X
Nurse Practitioner
AP61596679
WA
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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