| Kevin Herrick M.d., Inc. | |
|
26194 Highway 189 Blue Jay CA 92317-0218 | |
| (909) 336-9433 | |
| (909) 336-0811 |
| Full Name | Kevin Herrick M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 26194 Highway 189, Blue Jay, California |
| Authorized Official Name and Position | Kevin Ray Herrick (PRESIDENT) |
| Authorized Official Contact | 9093369433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Herrick M.d., Inc. Po Box 218 26914 Hwy 189 Blue Jay CA 92317-0218 Ph: (909) 336-9433 | Kevin Herrick M.d., Inc. 26194 Highway 189 Blue Jay CA 92317-0218 Ph: (909) 336-9433 |
| NPI Number | 1740349125 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 03/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740349125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A69299 (California) | Primary |