Individual
MR. JEREMY RICHARD KERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8300 CONSTITUTION AVE NE BLDG D, ALBUQUERQUE, NM 87110-7613
(505) 559-6400
(505) 559-6488
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 559-6400
(505) 559-6488
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2015-0047
NM
Other
Enumeration date
02/15/2006
Last updated
07/22/2026
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