Individual
ROY EUGENE KERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 6TH AVE, GREENVILLE, PA 16125-1237
(724) 588-2600
(724) 588-6427
Mailing address
17 6TH AVE, GREENVILLE, PA 16125-1237
(724) 588-2600
(724) 588-6427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD008220E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007258300001
—
PA
05
—
0162158
—
OH
Enumeration date
01/03/2007
Last updated
07/08/2007
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