Kerr, Bonnie Jean
Kerr, Bonnie Jean is an individual health care provider with primary practice located at 3883 Airway Dr Ste 203 , Santa Rosa CA 95403. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Kerr, Bonnie Jean can be contacted via phone (707) 521-7760.Contact Information
Primary practice address
3883 Airway Dr Ste 203
Santa Rosa CA 95403
Phone: (707) 521-7760
Fax: (707) 521-7759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G65305 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G65305 | California |
Profile Details
| NPI number | 1235241548 |
|---|---|
| LBN Legal business name | Kerr, Bonnie Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235241548 | NPPES |
| California | Other | G65305 | STATE MEDICAL LICENSE |
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