Kershaw Primary Care And Weight Loss, Llc | |
6005 Park Ave Ste 826b Memphis TN 38119-5223 | |
(901) 519-4680 | |
Not Available |
Full Name | Kershaw Primary Care And Weight Loss, Llc |
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Speciality | Nurse Practitioner |
Location | 6005 Park Ave Ste 826b, Memphis, Tennessee |
Authorized Official Name and Position | Valarie Kershaw-berry (OVER/NURSE PRACTITIONER) |
Authorized Official Contact | 6629029883 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kershaw Primary Care And Weight Loss, Llc 6005 Park Ave Ste 826b Memphis TN 38119-5223 Ph: (901) 607-1292 | Kershaw Primary Care And Weight Loss, Llc 6005 Park Ave Ste 826b Memphis TN 38119-5223 Ph: (901) 519-4680 |
NPI Number | 1013525187 |
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Provider Enumeration Date | 07/15/2020 |
Last Update Date | 05/13/2025 |
Certification Date | 05/13/2025 |
Medicare PECOS PAC ID | 0840605275 |
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Medicare Enrollment ID | O20210217002662 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013525187 | NPI | - | NPPES |
Provider Name | Valarie Kershaw-berry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407247315 PECOS PAC ID: 8527387406 Enrollment ID: I20150427000583 |
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