Individual
MS. CAROLINE J KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
4155 YELLOWSTONE AVE, PINE RIDGE MALL, POCATELLO, ID 83202-2345
(208) 238-0020
(208) 238-0021
Mailing address
4155 YELLOWSTONE AVE, PINE RIDGE MALL, POCATELLO, ID 83202-2345
(208) 238-0020
(208) 238-0021
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AUD1215
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010137942
REGENCE BCBS
ID
01
—
000010150424
BLUE SHIELD OF ID
ID
01
—
AU373
BLUE CROSS OF ID
ID
Enumeration date
11/16/2006
Last updated
08/22/2007
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