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Organization
KEVIN HERRICK M.D., INC.
Active
Organization
KEVIN HERRICK M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN RAY HERRICK MD (PRESIDENT)
(909) 336-9433
Entity
Organization
Contact information
Practice address
26194 HIGHWAY 189, BLUE JAY, CA 92317-0218
(909) 336-9433
(909) 336-0811
Mailing address
PO BOX 218, 26914 HWY 189, BLUE JAY, CA 92317-0218
(909) 336-9433
(909) 336-0811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A69299
CA
Other
Enumeration date
12/08/2006
Last updated
03/24/2011
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