Individual
MR. PATRICK G KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
20117 EUREKA RD, TAYLOR, MI 48180-5320
(734) 287-3415
Mailing address
15357 PEBBLEBROOK DR, BELLEVILLE, MI 48111-5235
(734) 718-1788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601002476
MI
363AM0700X
Medical Physician Assistant
Primary
5601002476
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12148788
CAQH
—
Enumeration date
04/04/2006
Last updated
10/22/2020
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