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General NPI Number Information
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NPI Number | 1467462218
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Entity Type | Organization
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Legal Business Name | KERSEY FAMILY CARE, PC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 601 E GOVERNOR JOHN SEVIER HWY
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City | KNOXVILLE
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State | TN
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Zip | 37920-6713
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Country | US
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Telephone | 865-609-2273
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Fax | 865-609-9373
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Provider Business Mailing Address
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Address Line | 601 E GOVERNOR JOHN SEVIER HWY
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City | KNOXVILLE
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State | TN
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Zip | 37920-6713
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Country | US
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Telephone | 865-609-2273
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Fax | 865-609-9373
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRANT G KERSEY
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Credential | M.D.
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Telephone | 865-609-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD0000036477
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License Number State | TN
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