Provider Demographics
NPI:1154532398
Name:KERR, ALAN ROBERTSON (PA-C, PSYD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:ROBERTSON
Last Name:KERR
Suffix:
Gender:M
Credentials:PA-C, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 S STEWART ST
Mailing Address - Street 2:SOUTH TEXAS RURAL HEALTH SERVICE
Mailing Address - City:COTULLA
Mailing Address - State:TX
Mailing Address - Zip Code:78014
Mailing Address - Country:US
Mailing Address - Phone:830-879-2502
Mailing Address - Fax:
Practice Address - Street 1:105 S STEWART ST
Practice Address - Street 2:SOUTH TEXAS RURAL HEALTH SERVICE
Practice Address - City:COTULLA
Practice Address - State:TX
Practice Address - Zip Code:78014
Practice Address - Country:US
Practice Address - Phone:830-879-2502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-26
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
TXPA06209363AM0700X
NY007203-1363AM0700X
FLPA 9104943363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical