Individual
MR. JONATHAN M KERLEY
Active
Individual
MR. JONATHAN M KERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2007029189
MO
207R00000X
Internal Medicine Physician
Primary
1427
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3307024
MEDICARE PTAN
TN
05
—
3307024
—
TN
01
—
3307028
MEDICARE PTAN
TN
01
—
3370172
MEDICARE PTAN
TN
01
—
3726561
MEDICARE PTAN
TN
Enumeration date
01/17/2006
Last updated
09/27/2020
Update your record
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