Individual
ROY JOHN KERSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3105 ESSARY DR, KNOXVILLE, TN 37918-2409
(865) 687-8990
(865) 687-1190
Mailing address
3105 ESSARY DR, KNOXVILLE, TN 37918-2409
(865) 687-8990
(865) 687-1190
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P501
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3684570
—
TN
01
—
4033879
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/14/2006
Last updated
07/08/2007
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