Individual
MS. DIANNE M. KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8904 CROSS PARK DR, KNOXVILLE, TN 37923-4703
(865) 690-2671
(865) 690-6445
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8930
(423) 285-6647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
499
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3652835
—
TN
01
—
84144
BLUE CROSS
TN
01
—
CH4394
MEDICARE-RAILROAD GROUP ID
TN
Enumeration date
05/16/2006
Last updated
09/02/2015
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