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Individual

KEVIN ZHU LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8066 WALNUT RUN RD STE 101, CORDOVA, TN 38018-8842
(800) 224-1807
(731) 664-0946
Mailing address
3035 N HIGHLAND AVE, JACKSON, TN 38305-3411
(731) 664-0899
(731) 664-0946

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
35298
MS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
71094
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200022317
MS
05
Q094738
TN
Enumeration date
03/31/2020
Last updated
12/12/2025
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