Individual
DIANE MARIE KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
8525 DUNBAR RD, IDA, MI 48140-9773
(734) 770-6803
Mailing address
8525 DUNBAR RD, IDA, MI 48140-9773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704204911
MI
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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