HomeNPI Verification

NPI Verification

National Provider Identifier: 1922014273

Kerry Alan Blackham, DO

Individual Provider

Credentials

DO

Primary Specialty

Family Medicine, Geriatric Medicine

Code: 207QG0300X

Practice Address

503 W PINE ST

PHILIP, SD 575670550

Phone: 605-859-2566

NPI Enumeration Date

July 31, 2006

NPI Number

1922014273

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Kerry Blackham, DO - NPI 1922014273 | Provider Verification | HormoneMap