Provider Demographics
NPI:1215149406
Name:KERR, SARAH E (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:KERR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 10TH AVE S STE 2200
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1311
Mailing Address - Country:US
Mailing Address - Phone:612-767-8370
Mailing Address - Fax:612-767-8376
Practice Address - Street 1:2800 10TH AVE S STE 2200
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1311
Practice Address - Country:US
Practice Address - Phone:612-767-8370
Practice Address - Fax:612-767-8376
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN51602207ZC0500X, 207ZP0007X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
No207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAENROLLEDMedicaid
MNENROLLEDMedicaid
MNP01103386OtherMEDICARE RAILROAD
MN220001359Medicare PIN
MNP01103386OtherMEDICARE RAILROAD