Individual
DR. BRIAN RICHARD KERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
80 E MAIN ST, CANTON, NY 13617-1450
(315) 261-5870
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
17399
MS
207Q00000X
Family Medicine Physician
Primary
241293-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124942
—
MS
Enumeration date
06/10/2005
Last updated
03/07/2023
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