Individual
DR. NICHOLAS HAROLD KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 N MICHIGAN ST, 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601-1033
(574) 647-3050
(574) 647-1094
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11016662A
IN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
02004816A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201111540
—
IN
Enumeration date
06/07/2012
Last updated
05/08/2023
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