Individual
KERRY KHEMET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
828 MODOC ST, VALLEJO, CA 94591-4813
(415) 900-8726
Mailing address
828 MODOC ST, VALLEJO, CA 94591-4813
(415) 900-8726
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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