Kevin Herrick M.d., Inc. | |
26194 Highway 189 Blue Jay CA 92317-0218 | |
(909) 336-9433 | |
(909) 336-0811 |
Full Name | Kevin Herrick M.d., Inc. |
---|---|
Speciality | Family Medicine |
Location | 26194 Highway 189, Blue Jay, California |
Authorized Official Name and Position | Kevin Ray Herrick (PRESIDENT) |
Authorized Official Contact | 9093369433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kevin Herrick M.d., Inc. Po Box 218 26914 Hwy 189 Blue Jay CA 92317-0218 Ph: (909) 336-9433 | Kevin Herrick M.d., Inc. 26194 Highway 189 Blue Jay CA 92317-0218 Ph: (909) 336-9433 |
NPI Number | 1740349125 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 03/24/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740349125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A69299 (California) | Primary |
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