Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Hazel Kerr

Individual provider Periodontics · NPI 1760369987

Dr. Hazel Kerr is a Periodontics in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania and Virginia.

Licensed in
PA, VA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

240 S 40th St
Philadelphia, PA 19104-6030
Phone: (215) 898-8965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 0401419672 (VA)
Periodontics Taxonomy 1223P0300X · Licence RFD000080 (PA)

Record details

NPI number1760369987
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

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