Provider Demographics
NPI:1487695078
Name:KERR, ANDREW C (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:C
Last Name:KERR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3555 LOMA VISTA RD
Mailing Address - Street 2:#100
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3161
Mailing Address - Country:US
Mailing Address - Phone:805-648-3316
Mailing Address - Fax:805-641-2881
Practice Address - Street 1:3555 LOMA VISTA RD
Practice Address - Street 2:#100
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3161
Practice Address - Country:US
Practice Address - Phone:805-648-3316
Practice Address - Fax:805-641-2881
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
CAG51543207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG51543CMedicare ID - Type UnspecifiedMEDICARE MEMBER ID
CAA52020Medicare UPIN