Individual
KERRI BEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2501 VILLAGE PROFESSIONAL DR, OPELIKA, AL 36801-2381
(334) 528-1070
Mailing address
2501 VILLAGE PROFESSIONAL DR, OPELIKA, AL 36801-2381
(334) 528-1070
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
MD.27770
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00471021
—
MS
01
—
051103664
BCBS
AL
01
—
051598131
BCBS
AL
01
—
051598132
BCBS
AL
05
—
110150
—
AL
05
—
110151
—
AL
05
—
127164
—
AL
05
—
130541
—
AL
01
—
P00854327
RAILROAD MEDICARE
—
Enumeration date
05/18/2007
Last updated
09/20/2021
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