Basic Information
| Provider Information | |||||||||
| NPI: | 1558612200 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KERR | ||||||||
| FirstName: | KRISTINA | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | CRT-RCP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 W INTERNATIONAL AIRPORT RD STE 1A | ||||||||
| Address2: | |||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995181106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9075656176 | ||||||||
| FaxNumber: | 9075656112 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 W INTERNATIONAL AIRPORT RD STE 1A | ||||||||
| Address2: | |||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995181106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9075656176 | ||||||||
| FaxNumber: | 9075656112 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2012 | ||||||||
| LastUpdateDate: | 09/20/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2278H0200X | 2278H0200X | AK | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Home Health |
No ID Information.