Vance, Kerry Dean

Vance, Kerry Dean is an individual health care provider with primary practice located at 2500 S Woodworth Loop , Palmer AK 99645-8984. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vance, Kerry Dean can be contacted via phone (907) 375-3355.

Contact Information

Primary practice address
2500 S Woodworth Loop Palmer AK 99645-8984
Phone: (907) 375-3355
Fax: (907) 375-3351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H5367 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2012025753 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7596 Alaska

Profile Details

NPI number 1699737692
LBN Legal business name Vance, Kerry Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Apr 8th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699737692 NPPES
Texas MEDICAID 1314130-08
Texas Other 8U1465
Texas Other 8CD653
Texas Other 1314130-09
Texas MEDICAID 131413010

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