Kerry A. Blackham, DO
Geriatric Medicine · Philip, SD
UnclaimedDONPI 1922014273
- Primary taxonomy
- 207QG0300X
- Enumerated
- 2006-07-31
- Practice location
- Philip, SD
- Last NPPES update
- 2019-01-09
State licenses
- SD · Osteopathic physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.