Kevin Herrick M.d., Inc.
NPI #1740349125 in Blue Jay, California
Provider Information
- NPI Number
- 1740349125
- Entity Type
- Organization
- Organization Name
- Kevin Herrick M.d., Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Mar 24, 2011
Practice Location
- Address
- 26194 HIGHWAY 189
- City
- Blue Jay
- State
- California
- ZIP Code
- 92317-0218
- Phone
- (909) 336-9433
Authorized Official
- Name
- DR. KEVIN RAY HERRICK, MD
- Title
- PRESIDENT
- Phone
- (909) 336-9433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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