MR. Richard Todd Kerr, PA-C, ATC

NPI #1881662385 in Peoria, Illinois

Provider Information

NPI Number: 1881662385
Entity Type: Individual
Name: MR. Richard Todd Kerr, PA-C, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, ATC
Enumeration Date: Mar 9, 2006
Last Updated: Dec 1, 2011

Practice Location

Address: 303 N WILLIAM KUMPF BLVD
City: Peoria
State: Illinois
ZIP Code: 61605-2507
Phone: (309) 676-5546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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