Kenneth David Terry, DO Valid NPI

Individual provider · Family Medicine Physician · Barstow, CA

NPI

1144712902

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

20A16604 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2018-06-06

Last updated

2025-12-19