Blacker, Kerry L.

Blacker, Kerry L. is an individual health care provider with primary practice located at 2200 Ofarrell St , San Francisco CA 94115-3357. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Blacker, Kerry L. can be contacted via phone (415) 833-2000.

Contact Information

Primary practice address
2200 Ofarrell St San Francisco CA 94115-3357
Phone: (415) 833-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G60335 California

Profile Details

NPI number 1841378452
LBN Legal business name Blacker, Kerry L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841378452 NPPES
California MEDICAID 00G603350

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