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Individual

DR. JEFFERY HAYES KERR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
5021 N BROADWAY ST, SUITE A, POTEAU, OK 74953-9433
(918) 647-9477
(918) 647-4595
Mailing address
5021 N BROADWAY ST, SUITE A, POTEAU, OK 74953-9433
(918) 647-9477
(918) 647-4595

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2830-94
MS
1223G0001X
General Practice Dentistry
Primary
5834
OK

Other

Enumeration date
02/10/2006
Last updated
01/30/2014
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