Kerry B Evnin MD INC a Professional Medical Corporation

NPI #1902855588 in Ceres, California

Provider Information

NPI Number: 1902855588
Entity Type: Organization
Organization Name: Kerry B Evnin MD INC a Professional Medical Corporation
Primary Specialty: Family Medicine
Enumeration Date: May 9, 2006
Last Updated: Jun 29, 2010

Practice Location

Address: 3641 MITCHELL RD
Address 2: H
City: Ceres
State: California
ZIP Code: 95307
Phone: (209) 531-0154

Authorized Official

Name: KERRY B EVNIN, MD
Title: PRESIDENT
Phone: (209) 531-0154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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