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.
Organization
KERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
KERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY B EVNIN MD (PRESIDENT)
(209) 531-0154
Entity
Organization
Contact information
Practice address
3641 MITCHELL RD, H, CERES, CA 95307
(209) 531-0154
(209) 531-0176
Mailing address
3641 MITCHELL RD, H, CERES, CA 95307
(209) 531-0154
(209) 531-0176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
655240
CA
Other
Enumeration date
05/09/2006
Last updated
06/29/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up