Individual
DR. GLENN J. KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13700 ST FRANCIS BLVD, SUITE 103, MIDLOTHIAN, VA 23114-3222
(804) 379-2414
(804) 379-2413
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101251415
VA
207X00000X
Orthopaedic Surgery Physician
21764
NE
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0101251415
VA
Other
Enumeration date
09/13/2006
Last updated
09/02/2020
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