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Individual

MR. JAMES RICHARD KERRIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2018 CLINCH AVE, SOUTH TOWER, 2ND FLOOR, KNOXVILLE, TN 37916
(865) 971-7400
(865) 541-8611
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901
(865) 522-9730
(865) 637-2520

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
0000024835
TN
2080P0205X
Pediatric Endocrinology Physician
200401240
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0598U
BCBS
NC
05
10196736
VA
05
1516053
TN
05
3810003260
WV
01
4247746
BCBS
TN
01
4401155
AETNA
01
804923
PARTNERS
NC
05
890598U
NC
01
D7731
MEDCOST
NC
05
Q24835
SC
Enumeration date
12/02/2005
Last updated
02/20/2018
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