Timothy P Kerut in Vicksburg - Allergy & Immunology

Timothy P Kerut - NPI 1932130127

Timothy P Kerut is a Allergy & Immunology in Vicksburg, Mississippi. Timothy P Kerut practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Timothy P Kerut is 1932130127. The last update date is 2020-09-10.

Timothy P Kerut's current location address is 2200 Highway 61 N, Vicksburg, Mississippi. You can contact this provider via phone number 6018833320. The mailing address for Timothy P Kerut is 2200 Highway 61 N, Vicksburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy P Kerut
Address 2200 Highway 61 N, Vicksburg, Mississippi
Phone Number 6018833320
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1932130127
Provider Enumeration Date 2006-07-05
Last Updated Date 2020-09-10

Provider Mailing Address Detail

Address 2200 Highway 61 N
City Vicksburg
State Mississippi (MS)
Post Code 391838246
Phone Number 6018833320
Fax Number

Provider's Primary Taxonomy Detail

Speciality Allergy & Immunology
Taxonomy 207K00000X
Licence No 11047
Definition:
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
120441 MS --
5694020 MS AETNA
1546143 LA --

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FAQs about Timothy P Kerut

What is the unique 10-digit identification code issued to Timothy P Kerut by the Centers for Medicare & Medicaid Services?

The Timothy P Kerut has been assigned the NPI (National Provider Identifier) 1932130127 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Timothy P Kerut?

The Timothy P Kerut is physically situated at 2200 Highway 61 N, in the city of Vicksburg, state of MS, with the postal code 391838246.

What is Timothy P Kerut's area of expertise and its corresponding taxonomy classification?

The Timothy P Kerut's field of specialization is Allergy & Immunology, and it falls under the taxonomy code 207K00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1932130127 to Timothy P Kerut?

The Centers for Medicare & Medicaid Services originally issued the 1932130127 to Timothy P Kerut on 2006-07-05.

When was the information pertaining to Timothy P Kerut most recently updated or revised?

The details related to Timothy P Kerut, including its address, specialty, and other relevant information, were last updated or revised on 2020-09-10.

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