Fred Kersh DO PA
Preventive Medicine, Occupational Medicine in Tyler, TX. Organization (NPI-2).
NPI number1851499750
StatusActive
Last updated in NPPESOct 1, 2007
Details
- NPI
- 1851499750
- Entity type
- Organization (NPI-2)
- Legal business name
- Fred Kersh DO PA
- Organization subpart
- No
- Enumeration date
- Sep 21, 2006
- Last updated
- Oct 1, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | – | – | Yes |
Practice location
906 E Front StTyler, TX 75702-8328
Phone 903-593-9999 · Fax 903-526-4239
Mailing address
Po Box 130757Tyler, TX 75713-0757
Phone 903-593-9999 · Fax 903-526-4239
Authorized official
Fred W Kersh
Owner
9035939999
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