Kerry B Evnin Md Inc A Professional Medical Corporation in Ceres - Family Medicine
Kerry B Evnin Md Inc A Professional Medical Corporation - NPI 1902855588
Kerry B Evnin Md Inc A Professional Medical Corporation is a Family Medicine in Ceres, California. Kerry B Evnin Md Inc A Professional Medical Corporation practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kerry B Evnin Md Inc A Professional Medical Corporation is 1902855588. The last update date is 2010-06-29.
Kerry B Evnin Md Inc A Professional Medical Corporation's current location address is 3641 Mitchell Rd, Ceres, California. You can contact this provider via phone number 2095310154 and fax number 2095310176. The mailing address for Kerry B Evnin Md Inc A Professional Medical Corporation is 3641 Mitchell Rd, Ceres, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kerry B Evnin Md Inc A Professional Medical Corporation |
|---|---|
| Address | 3641 Mitchell Rd, Ceres, California |
| Phone Number | 2095310154 |
| Fax Number | 2095310176 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Evnin B Kerry |
| Credentials | MD |
| Telephone Number | 2095310154 |
NPI Number Detail
| NPI Number | 1902855588 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2010-06-29 |
Provider Mailing Address Detail
| Address | 3641 Mitchell Rd |
|---|---|
| City | Ceres |
| State | California (CA) |
| Post Code | 95307 |
| Phone Number | 2095310154 |
| Fax Number | 2095310176 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 655240 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique provider identifier assigned to Kerry B Evnin Md Inc A Professional Medical Corporation?
The Kerry B Evnin Md Inc A Professional Medical Corporation has been issued the NPI (National Provider Identifier) 1902855588 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Kerry B Evnin Md Inc A Professional Medical Corporation is geographically located?
The Kerry B Evnin Md Inc A Professional Medical Corporation is physically situated at the following location: 3641 Mitchell Rd, Ceres, CA, 95307.
What is Kerry B Evnin Md Inc A Professional Medical Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kerry B Evnin Md Inc A Professional Medical Corporation is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date was the 1902855588 assigned to Kerry B Evnin Md Inc A Professional Medical Corporation?
The Kerry B Evnin Md Inc A Professional Medical Corporation was issued its 1902855588 on 2006-05-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kerry B Evnin Md Inc A Professional Medical Corporation's details last updated?
The information pertaining to the Kerry B Evnin Md Inc A Professional Medical Corporation, including its address, specialty, and other details, was most recently updated on 2010-06-29.