Organization
FAST ACCESS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN M KERLEY DO (OWNER PHYSICIAN)
(423) 894-0432
Entity
Organization
Contact information
Practice address
2372 LIFESTYLE WAY STE 152, CHATTANOOGA, TN 37421-4940
(423) 894-0432
(423) 894-0475
Mailing address
PO BOX 23367, CHATTANOOGA, TN 37422-3367
(423) 456-7001
(888) 356-3103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3370172
MEDICARE PTAN
TN
05
—
3370172
—
TN
Enumeration date
07/03/2007
Last updated
01/24/2024
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