Individual
SUSAN KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
834 E HIGH AVE, NEW PHILADELPHIA, OH 44663-3052
(330) 308-9939
Mailing address
834 E HIGH AVE, NEW PHILADELPHIA, OH 44663-3052
(330) 308-9939
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA-1692
OH
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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