Individual
DOUGLAS ROBERT KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 PENNSYLVANIA AVENUE, BINGHAMTON, NY 13903
(607) 723-5393
(607) 771-0803
Mailing address
65 PENNSYLVANIA AVENUE, BINGHAMTON, NY 13903
(607) 723-5393
(607) 771-0803
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
142012
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
142012
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00819874
—
NY
Enumeration date
08/25/2006
Last updated
08/20/2012
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