Individual
MR. DARCY CAMERON KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D. (LICENSED DENTU
Contact information
Practice address
1155 POCATELLO CREEK RD., POCATELLO, ID 83201
(208) 238-1100
(208) 233-4933
Mailing address
1155 POCATELLO CREEK RD., POCATELLO, ID 83201
(208) 238-1100
(208) 233-4933
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
54
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806654100
—
ID
Enumeration date
04/03/2007
Last updated
04/15/2019
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