Provider Demographics
NPI:1073836284
Name:KERR, CHRISTINE GUESS (RPH)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:GUESS
Last Name:KERR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:CHRISTINE
Other - Last Name:GUESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:2907 ALBIN DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-3008
Mailing Address - Country:US
Mailing Address - Phone:210-820-3460
Mailing Address - Fax:210-822-8795
Practice Address - Street 1:735 SW MILITARY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1642
Practice Address - Country:US
Practice Address - Phone:210-927-6875
Practice Address - Fax:210-922-4789
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20762183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist