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Individual
TIMOTHY KERSEY
Active
Individual
TIMOTHY KERSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1155326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1155326
NEED AN NPI NUMBER FOR A JOB I AM APPLYING FOR AND UNSURE OF WHO IS THE ISSUER
NY
Enumeration date
09/22/2020
Last updated
09/22/2020
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