Individual
NIKOLAS KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W 4TH ST, DAVENPORT, IA 52801-1104
(563) 328-3223
Mailing address
PO BOX 909, BETTENDORF, IA 52722-0016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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