KERSHAW PRIMARY CARE AND WEIGHT LOSS LLC NPI 1013525187

NPI Information

KERSHAW PRIMARY CARE AND WEIGHT LOSS, LLC is a primary care nurse practitioner in Memphis, TN. KERSHAW PRIMARY CARE AND WEIGHT LOSS, LLC NPI is 1013525187. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kershaw Primary Care And Weight Loss.

The provider's business location address is:

6005 PARK AVE STE 826B
MEMPHIS, TN
ZIP 38119-223
Phone: (901) 519-4680

The provider's authorized official is Valarie Kershaw-berry .
The authorized official title is Over/nurse Practitioner and has the following contact phone number (662) 902-9883.

The CLIA number assigned to this NPI record is 44D2202118 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2020 and was last updated on 2/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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