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Individual

DR. JERRY KARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8011
(636) 390-7296
Mailing address
PO BOX 18057B, SAINT LOUIS, MO 63150-8057
(636) 239-8011
(636) 390-7296

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
03217
IA
207P00000X
Emergency Medicine Physician
Primary
101878
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0191882
IA
05
1174505481
MO
01
49428
BX
IA
01
930097243
RRMC
IA
01
P00889535
RAILROAD MEDICARE
MO
Enumeration date
11/14/2005
Last updated
03/12/2015
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