Individual
BARBARA A KERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2035
(801) 475-1621
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-2035
(801) 475-1621
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
57481691204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00208181
MEDICARE RAILROAD
UT
Enumeration date
07/28/2006
Last updated
10/04/2012
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