Individual
DOUGLAS KERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3301 W MAIN PL, RUSSELLVILLE, AR 72801-2334
(479) 968-7930
(479) 968-1673
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 968-7930
(479) 968-4331
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
111843
GA
2085R0202X
Diagnostic Radiology Physician
111843
GA
2085R0202X
Diagnostic Radiology Physician
Primary
N7605
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117042001
—
AR
01
—
52506
BCBS PROVIDER NUMBER
AR
Enumeration date
03/24/2006
Last updated
05/04/2026
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