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Individual

DR. JILL E. KERR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4530 E RAY RD, SUITE 190, PHOENIX, AZ 85044-6094
(480) 940-5420
(480) 940-5480
Mailing address
4530 E RAY RD, SUITE 190, PHOENIX, AZ 85044-6094
(480) 940-5420
(480) 940-5480

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3241
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
264581170
OCEAN SHORE FAMILY MEDICAL CENTER
FL
01
860950956
TAX ID
AS
Enumeration date
07/27/2005
Last updated
07/03/2017
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