Provider Demographics
NPI:1558612200
Name:KERR, KRISTINA ANNE (CRT-RCP)
Entity type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:ANNE
Last Name:KERR
Suffix:
Gender:F
Credentials:CRT-RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W INTERNATIONAL AIRPORT RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-1106
Mailing Address - Country:US
Mailing Address - Phone:907-565-6176
Mailing Address - Fax:907-565-6112
Practice Address - Street 1:501 W INTERNATIONAL AIRPORT RD STE 1A
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1106
Practice Address - Country:US
Practice Address - Phone:907-565-6176
Practice Address - Fax:907-565-6112
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2278H0200X2278H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health