Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KERRY ALAN BLACKHAM, DO
Active Sole ProprietorKERRY ALAN BLACKHAM, DO is a Geriatric Medicine healthcare provider located in PHILIP, South Dakota. NPI 1922014273 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · PHILIP, SD
Registration Details
- NPI Number
- 1922014273
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (19.99414524179 yrs)
- Last Updated
- Jan 9, 2019
- License
-
9452 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
503 W PINE STPHILIP, SD, 575670550Browse SD providers · Browse ZIP 57567
- Phone
- 6058592566
- Fax
- 6058592948
- Primary Specialty
-
Geriatric Medicine
207QG0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.