Individual
DR. C. KERRY STRATFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 S 900 E STE 203, ST GEORGE, UT 84790-7003
(435) 673-6131
(435) 673-8557
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1745291205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08443
—
UT
Enumeration date
01/23/2007
Last updated
11/27/2023
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