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NPI Code Detail

MEDICARE: KERRY FOROPOULOS R.N.

MEDICARE: KERRY FOROPOULOS R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN0000147183TN

General Provider Information

NPI Number : 1275960205
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY FOROPOULOS R.N.
Provider Business Mailing Address
First Line : 6350 W ANDREW JOHNSON HWY
Second Line : DEPARTMENT 100
City : TALBOTT
State : TN
Zip : 37877-8605
Country : US
Telephone Number : 800-355-3565
Fax Number : 423-714-2355
Provider Business Practice Location Address
First Line : 1032 MCCALLIE AVE
Second Line : SUITE 100
City : CHATTANOOGA
State : TN
Zip : 37403-2800
Country : US
Telephone Number : 423-266-4588
Fax Number : 865-342-0103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2013
Last Update Date : 02/03/2017

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Directions to “ KERRY FOROPOULOS R.N.” Practice Location

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