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
Fax: (208) 233-4933
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134240120 NPPES
Idaho MEDICAID 806654100

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