Provider Demographics
NPI:1831359991
Name:STERLING, KERRY E (MD)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:E
Last Name:STERLING
Suffix:
Gender:M
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:PO BOX 531943
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70153-1943
Mailing Address - Country:US
Mailing Address - Phone:504-265-0382
Mailing Address - Fax:504-218-4151
Practice Address - Street 1:1831 ROUSSEAU ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-1903
Practice Address - Country:US
Practice Address - Phone:504-265-0382
Practice Address - Fax:504-218-4151
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2016-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPGY.1.LSUBGL-FP390200000X
LAMD.204295207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1102962Medicaid
MS09673368Medicaid
MS09673368Medicaid