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
- State
- South Dakota
- ZIP Code
- 57567-0550
- Phone
- (605) 859-2566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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