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Individual

KENT HJERPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
325 N STATE OF FRANKLIN RD, FIRST FLOOR, JOHNSON CITY, TN 37604-6056
(423) 439-7272
(423) 439-7235
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
38757
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
53695
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3714470
GROUP MEDICARE
TN
05
64087786
KY
Enumeration date
06/14/2005
Last updated
05/10/2018
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