Healthcare Provider Details

I. General information

NPI: 1861207862
Provider Name (Legal Business Name): ENT ASSOCIATES OF FRESNO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2025
Last Update Date: 08/09/2025
Certification Date: 08/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 E HERNDON AVE STE 102
FRESNO CA
93720-2993
US

IV. Provider business mailing address

7726 N 1ST ST # 344
FRESNO CA
93720-0989
US

V. Phone/Fax

Practice location:
  • Phone: 805-717-0726
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN KERR
Title or Position: CFO
Credential: DO
Phone: 559-768-3682