Kerr, Darcy Cameron
Kerr, Darcy Cameron is an sole proprietor health care provider with primary practice located at 1155 Pocatello Creek Rd. , Pocatello ID 83201. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Kerr, Darcy Cameron can be contacted via phone (208) 238-1100.Contact Information
Primary practice address
1155 Pocatello Creek Rd.
Pocatello ID 83201
Phone: (208) 238-1100
Fax: (208) 233-4933
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Denturist | 122400000X | 54 | Idaho |
Profile Details
NPI number | 1134240120 |
---|---|
LBN Legal business name | Kerr, Darcy Cameron |
Credentials | L.D. (LICENSED DENTU |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 3rd, 2007 |
Last updated | Apr 15th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134240120 | NPPES |
Idaho | MEDICAID | 806654100 |
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