# SEVIER VALLEY MEDICAL CLINIC PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1902185309
- **Authorized official:** KERRY A BLACKHAM M.D. (MD/OWNER)
- **Authorized official phone:** (435) 529-4243

## Contact information

- **Practice address:** 131 E MAIN ST, SUITE 3, SALINA, UT 84654-1335
- **Practice address phone:** (435) 529-4243
- **Practice address fax:** (435) 529-4239
- **Mailing address:** 131 NORTH MAIN STREET, SUITE 3, SALINA, UT 84654-1107
- **Mailing address phone:** (435) 529-4243
- **Mailing address fax:** (435) 529-4239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3715201204 | UT | Yes |

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 08/16/2011