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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Kerry Alan Blackham, DO

Geriatric Medicine (Family Medicine) Physician in Philip, SD · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922014273

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Registry record

Entity type Individual (Type 1)
Name Kerry Alan Blackham
Credential DO
Sex Male
Practice address Philip, SD, 57567
Fax (605) 859-2948
Enumeration date Jul 31, 2006
Last updated in NPPES Jan 9, 2019

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 9452 (SD) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
S110986 Medicaid SD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kerry Blackham practice?
The practice location on file with NPPES is in Philip, SD. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kerry Blackham?
The National Provider Identifier (NPI) for Kerry Blackham is 1922014273, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-09.