Individual
DR. ALBERT GLEN KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 CHRISTIAN DR, RAYVILLE, LA 71269-3658
(318) 728-0175
(318) 728-0173
Mailing address
PO BOX 749, RAYVILLE, LA 71269-0749
(318) 728-0175
(318) 728-0173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019435
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1377686
—
LA
Enumeration date
05/24/2005
Last updated
05/17/2011
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