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Individual

MR. JUSTIN A KERR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
915 S RIVERSIDE DR NE, MCCONNELSVILLE, OH 43756-9102
(740) 454-9466
Mailing address
PO BOX 16370, COLUMBUS, OH 43216-6370
(614) 563-7010
(614) 445-7808

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14198
OH
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
COA14198NP
OH

Other

Enumeration date
01/28/2013
Last updated
02/20/2014
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