Jeremy Richard Kersey in Rio Rancho - Medical
Jeremy Richard Kersey - NPI 1710951959
Jeremy Richard Kersey is a Medical in Rio Rancho, New Mexico. Jeremy Richard Kersey practices all healthcare services and medical treatments related to Medical. The NPI Number for Jeremy Richard Kersey is 1710951959. The last update date is 2019-12-18.
Jeremy Richard Kersey's current location address is 3001 Broadmoor Blvd Ne, Rio Rancho, New Mexico. You can contact this provider via phone number 5059947000. The mailing address for Jeremy Richard Kersey is 3001 Broadmoor Blvd Ne, Rio Rancho, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Richard Kersey |
|---|---|
| Address | 3001 Broadmoor Blvd Ne, Rio Rancho, New Mexico |
| Phone Number | 5059947000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1710951959 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2019-12-18 |
Provider Mailing Address Detail
| Address | 3001 Broadmoor Blvd Ne |
|---|---|
| City | Rio Rancho |
| State | New Mexico (NM) |
| Post Code | 871442100 |
| Phone Number | 5059947000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA2015-0047 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeremy Richard Kersey by the Centers for Medicare & Medicaid Services?
The Jeremy Richard Kersey has been issued the NPI (National Provider Identifier) 1710951959 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jeremy Richard Kersey's physical address?
The Jeremy Richard Kersey is physically located at 3001 Broadmoor Blvd Ne, in the city of Rio Rancho, NM, with the postal code 871442100.
What is Jeremy Richard Kersey's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeremy Richard Kersey is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Jeremy Richard Kersey receive its 1710951959 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy Richard Kersey was assigned its 1710951959 by the Centers for Medicare & Medicaid Services on 2006-02-15.
When was the information related to Jeremy Richard Kersey most recently updated or refreshed?
The details pertaining to the Jeremy Richard Kersey, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-12-18.