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Individual

DAVID KERR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 372-1480
Mailing address
PO BOX 1029, STILLWATER, OK 74076-1029
(405) 742-5300
(405) 742-4990

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2876
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
440702050001
BCBS
OK
01
50036568
RAILROAD MEDICARE
Enumeration date
01/25/2006
Last updated
02/21/2008
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