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Individual

DR. THOMAS M KERKERING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 CRYSTAL SPRING AVE SW, SUITE 301, ROANOKE, VA 24014-2462
(540) 981-7715
(540) 981-7965
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5705
(540) 981-7965

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101026440
VA
207RI0200X
Infectious Disease Physician
0101-026440
VA
207RI0200X
Infectious Disease Physician
200201348
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13231
BCBS NC
NC
01
440003962
RAILROAD MEDICARE
NC
05
8913231
NC
Enumeration date
08/19/2005
Last updated
06/24/2024
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