Individual
MR. JAMES DOUGLAS KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 W 12TH ST, IMPERIAL, NE 69033-3131
(308) 882-7111
Mailing address
PO BOX 819, IMPERIAL, NE 69033-0819
(308) 882-7111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
17148
NE
207Q00000X
Family Medicine Physician
Primary
2720
SD
207Q00000X
Family Medicine Physician
3723A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1986497
—
IA
05
—
46045931500
—
NE
05
—
5602744
—
SD
Enumeration date
08/04/2005
Last updated
10/20/2023
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