Individual
DR. HAZEL KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 898-8965
Mailing address
1620 SANSOM ST APT 2202, PHILADELPHIA, PA 19103-5973
(267) 694-0763
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401419672
VA
1223P0300X
Periodontics
RFD000080
PA
Other
Enumeration date
08/19/2025
Last updated
11/11/2025
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