MEDICARE: KEVIN ZHU LIU MD

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
1	208100000X	Physical Medicine & Rehabilitation Physician	35298	MS
2	208100000X	Physical Medicine & Rehabilitation Physician	71094	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972131316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN ZHU LIU MD

Provider Business Mailing Address
First Line	:	3035 N HIGHLAND AVE
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-3411
Country	:	US
Telephone Number	:	731-664-0899
Fax Number	:	731-664-0946

Provider Business Practice Location Address
First Line	:	8066 WALNUT RUN RD STE 101
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38018-8842
Country	:	US
Telephone Number	:	800-224-1807
Fax Number	:	731-664-0946

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2020
Last Update Date	:	12/12/2025

Similar Medicare Providers

1801903737 — DR. YAIR WALZER MD
Practice Location Address:

8066 WALNUT RUN RD STE 100
CORDOVA, TN
38018-8842

Practice Phone: 901-753-9821
Practice Fax: 901-753-3537

1962646638 — MRS. CAROL H SCROGGINS FNP
Practice Location Address:

8066 WALNUT RUN RD STE 100
CORDOVA, TN
38018-8842

Practice Phone: 901-881-2260
Practice Fax: 901-881-0680

1801323399 — KELLY JEAN VRETTOS NP-C
Practice Location Address:

8066 WALNUT RUN RD STE 100
CORDOVA, TN
38018-8842

Practice Phone: 901-219-6515
Practice Fax:

1689164709 — NADIA OLIVIA ALBERT BCBA
Practice Location Address:

8066 WALNUT RUN RD STE 102
CORDOVA, TN
38018-8842

Practice Phone: 901-249-7838
Practice Fax: 901-271-7180

1164014361 — DANIELLE PERRY
Practice Location Address:

8066 WALNUT RUN RD STE 102
CORDOVA, TN
38018-8842

Practice Phone: 901-410-3595
Practice Fax:

1841882024 — AUDREY ELAINE HAMM RBT
Practice Location Address:

8066 WALNUT RUN RD STE 102
CORDOVA, TN
38018-8842

Practice Phone: 901-410-3595
Practice Fax:

Directions to “ KEVIN ZHU LIU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.