Individual
MR. RANDY WAYNE KERR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 273-2270
Mailing address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 273-2270
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1170
OK
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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