Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy J. Kerr, DIVEIDC

Individual provider Independent Duty Corpsman · NPI 1841552163

Mr. Timothy J. Kerr, DIVEIDC is an Independent Duty Corpsman in Port Hueneme, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

4643 Dock Rd Bldg 524
Port Hueneme, CA 93043-4321
Phone: (805) 982-6682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CA)

Record details

NPI number1841552163
Entity typeIndividual (Type 1)
GenderMale
Credentials DIVEIDC
Sole proprietorYes
NPI enumeratedJune 12, 2012
Last updated in NPPESJune 12, 2012

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