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Kerry Alan Blackham (DO)

Kerry Alan Blackham (DO) is a health care provider specializes in Family Medicine. He is associated with medical group practice PHILIP HEALTH SERVICES, INC and is affiliated with 2 hospitals as shown below.

profile-icon Basic Information

Practice Location 131 E Main, Suite 3, Salina, UT 84654, US
Practice Location Phone435-529-4243
Practice Location Fax435-529-4253
GenderMale
Specialty InFamily Medicine
Medical SchoolOther
Graduation Year1996
NPI ?1922014273
PECOS ID6800789439
Enrollment IDI20160823000327
Entity TypeIndividual
Enumeration Date ? Jul 31, 2006
Last Update Date ? Feb 3, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Kerry Alan Blackham

SpecialtySpecializationLicenseLicense State
Family Medicine 3715201204Utah

Medicare-icon Medicare Participation of Kerry Alan Blackham

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Kerry Alan Blackham

Medical Group PracticePhilip Health Services, Inc.
Affiliation 1 Hans P Peterson Memorial Hospital - Cah
Affiliation 2 Rapid City Regional Hospital