Individual
CANAAN KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-0715
(314) 619-4039
Mailing address
3231 EUCLID AVE, BERWYN, IL 60402-3471
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
03/30/2026
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