Individual
DR. JEFFERY ALAN KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 GW LN, WAYNESVILLE, MO 65583-2339
(573) 842-4116
(573) 433-2008
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MOR8F45
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447412770
RH MEDICAID (CLINIC)
MO
05
—
242285732
—
MO
01
—
26-8630
RH MEDICARE
MO
Enumeration date
04/07/2006
Last updated
08/22/2019
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