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Individual

MRS. BONNIE JEAN KERR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3883 AIRWAY DR STE 203, SANTA ROSA, CA 95403
(707) 521-7760
(707) 521-7759
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 521-7760
(707) 521-7759

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G65305
CA
207N00000X
Dermatology Physician
Primary
G65305
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G65305
STATE MEDICAL LICENSE
CA
Enumeration date
08/31/2006
Last updated
03/07/2023
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