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Kerry Alan Blackham, DO
Geriatric Medicine (Family Medicine) Physician in Philip, South Dakota
NPI 1922014273

Kerry Alan Blackham is a Geriatric Medicine (Family Medicine) Physician based in Philip, SD and is specialized in Geriatric Medicine. Kerry Alan Blackham practices in Philip, SD and has the professional credentials of DO. The NPI Number for Kerry Alan Blackham is 1922014273 and holds a License No. 9452 (South Dakota).

The current practice location address for Kerry Alan Blackham is 503 W Pine St, Philip, SD and can be reached out via phone at 605-859-2566 and via fax at 605-859-2948.

Location: 503 W Pine St, Philip, SD, 57567-0550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922014273
Provider Name
Kerry Alan Blackham
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
503 W Pine St, Philip, SD, 57567-0550
Phone Number
605-859-2566
Fax Number
605-859-2948
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S110986 05 SD
institution
Provider Business Practice Location Address Details
Address
503 W Pine St
City
Philip
State
South Dakota
Zip
57567-0550
Phone Number
605-859-2566
Fax Number
605-859-2948
person
Provider Business Mailing Address Details
Address
503 W Pine St
City
Philip
State
South Dakota
Zip
57567-0550
Phone Number
605-859-2566
Fax Number
605-859-2948
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
9452 (South Dakota)
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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