# KERRY'S MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548310139
- **Authorized official:** MR. TIMOTHY LANE MILBERGER (PRESIDENT)
- **Authorized official phone:** (916) 374-0400

## Contact information

- **Practice address:** 6530 PACIFIC AVE, STOCKTON, CA 95207-3722
- **Practice address phone:** (209) 951-3300
- **Practice address fax:** (209) 951-3400
- **Mailing address:** 2204 W CAPITOL AVE, W SACRAMENTO, CA 95691-2425
- **Mailing address phone:** (916) 374-0400
- **Mailing address fax:** (916) 374-0404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 04/15/2009