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Contact Information

KERSHAW PRIMARY CARE AND WEIGHT LOSS, LLC
6005 PARK AVE STE 826B
MEMPHIS, TN38119-5223
 Phone: 901-519-4680
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for KERSHAW PRIMARY CARE AND WEIGHT LOSS, LLC

NPI # 1013525187
LBN Legal business name KERSHAW PRIMARY CARE AND WEIGHT LOSS, LLC
Authorized official VALARIE KERSHAW-BERRY - (OVER/NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2020
Last updated 05/13/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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