Individual
MR. JEREMY RICHARD KERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
MSC09 5040 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-2100
(505) 219-6614
Mailing address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2015-0047
NM
Other
Enumeration date
02/15/2006
Last updated
10/09/2025
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