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Individual

MATTHEW JAMES KERR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
5100 NW 33RD AVE STE 245, FT LAUDERDALE, FL 33309-6381
(786) 605-9055
(913) 676-7358
Mailing address
981 WILMINGTON DR, DELTONA, FL 32725-6524
(386) 228-5594

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
010974
NY
133V00000X
Registered Dietitian
86102191
NJ
133V00000X
Registered Dietitian
DN007757
PA
133V00000X
Registered Dietitian
LD.10046
OH
133V00000X
Registered Dietitian
LD2022016
NM
133V00000X
Registered Dietitian
LDN01235
RI
133V00000X
Registered Dietitian
Primary
ND9464
FL

Other

Enumeration date
03/10/2022
Last updated
02/10/2023
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