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Individual

STEPHEN R KERR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1701 3RD ST SE, SUITE 300, PUYALLUP, WA 98372-4511
(253) 697-5767
Mailing address
1701 3RD ST SE, SUITE 300, PUYALLUP, WA 98372-4511
(253) 697-5767

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G85310
CA
208600000X
Surgery Physician
G85310
CA
208600000X
Surgery Physician
Primary
MD60117918
WA

Other

Enumeration date
02/06/2007
Last updated
12/06/2011
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