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Individual

MR. RYAN MICHAEL KERR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDN

Contact information

Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-4131
Mailing address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-4131

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164008071
IL

Other

Enumeration date
09/23/2020
Last updated
09/23/2020
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