Individual
MARY R KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
823 E AMITY AVE, NAMPA, ID 83686-1053
(208) 467-8428
(800) 934-4028
Mailing address
823 E AMITY AVE, NAMPA, ID 83686-1053
(208) 467-8428
(800) 934-4028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-13881
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M13881
STATE LICENSE
ID
Enumeration date
07/26/2006
Last updated
02/12/2026
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