Individual
DR. KERRY NORMAN GOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G65566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C655660
—
CA
01
—
BK903Z
MEDICARE NO CAL PTAN
—
01
—
G65566
CA LICENSE #
CA
05
—
GR0059670
—
CA
Enumeration date
06/02/2006
Last updated
03/07/2023
Update your record
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