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Contact Information

KERRY B EVNIN, MD
3641 MITCHELL RD
STE H
CERES, CA95307
 Phone: 209-531-0154
 Fax: 209-531-0176
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KERRY B EVNIN · (Male)

NPI Number 1356536973
Status Active
Credentials MD
Entity Individual
Enumeration date 09/06/2007
Last updated 09/19/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G55240
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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