IndividualActive
Kerry Blackham, DO
NPI 1922014273 · Geriatric Medicine (Family Medicine) Physician · Philip, SD
Provider details
- NPI number
- 1922014273
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9452 (SD)
Practice location
503 W Pine St
Philip, SD 57567-0550
Phone: (605) 859-2566
Fax: (605) 859-2948
Mailing address
503 West Pine
Philip, SD 57567-0550
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2019-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.