Provider Demographics
NPI:1447471883
Name:KERR, LIBBY A (RN BSN CDE)
Entity type:Individual
Prefix:MS
First Name:LIBBY
Middle Name:A
Last Name:KERR
Suffix:
Gender:F
Credentials:RN BSN CDE
Other - Prefix:
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Mailing Address - Street 1:295 POSADA LN
Mailing Address - Street 2:SUITE C
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-4055
Mailing Address - Country:US
Mailing Address - Phone:805-434-1166
Mailing Address - Fax:805-434-0463
Practice Address - Street 1:295 POSADA LN
Practice Address - Street 2:SUITE C
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-4055
Practice Address - Country:US
Practice Address - Phone:805-434-1166
Practice Address - Fax:805-434-0463
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA374766163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator