Kerry Alan Blackham, DO

NPI #1922014273 in Philip, South Dakota

Provider Information

NPI Number
1922014273
Entity Type
Individual
Name
Kerry Alan Blackham, DO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine - Geriatric Medicine
Credential
DO
Enumeration Date
Jul 31, 2006
Last Updated
Jan 9, 2019

Practice Location

Address
503 W PINE ST
City
Philip
ZIP Code
57567-0550
Phone
(605) 859-2566

Specialties & Taxonomy Codes

Specialty
Family Medicine - Geriatric MedicineGeriatric Medicine

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