Individual
JAMES ROBERT KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
520 WASHINGTON STREET, SUITE C, CONCORDIA, KS 66901
(785) 243-4164
(785) 243-4164
Mailing address
PO BOX 254, CONCORDIA, KS 66901
(785) 243-4164
(785) 243-4164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
135
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200363150A
—
KS
Enumeration date
01/08/2013
Last updated
01/08/2013
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