Individual
WILLIAM BLAKELEY KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
83 WAINSCOTT NORTHWEST RD, WAINSCOTT, NY 11975-2003
(631) 537-1892
(631) 537-3053
Mailing address
57 HAMPTON RD, SUITE 201, SOUTHAMPTON, NY 11968-4973
(631) 537-1892
(631) 537-3053
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
183802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02491385
—
NY
Enumeration date
10/10/2006
Last updated
05/10/2016
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