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Kera Bergeron, PA-C
Surgical Physician Assistant in Memphis, Tennessee
NPI 1629322607

Kera Bergeron is a Surgical Physician Assistant based in Memphis, TN and is specialized in Surgical. Kera Bergeron practices in Memphis, TN and has the professional credentials of PA-C. The NPI Number for Kera Bergeron is 1629322607 and holds a License No. 2248 (Tennessee).

The current practice location address for Kera Bergeron is 6029 Walnut Grove Rd Ste 403, Memphis, TN and can be reached out via phone at 901-261-7836 and via fax at 901-226-0215. You can also correspond with Kera Bergeron through the mailing address at 6077 PRIMACY PKWY STE 140, MEMPHIS, TN - 38119-5742 (mailing address contact number: 901-725-8347).

Location: 6029 Walnut Grove Rd Ste 403, Memphis, TN, 38119-5742
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Provider Profile Details
NPI Number
1629322607
Provider Name
Kera Bergeron
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6029 Walnut Grove Rd Ste 403, Memphis, TN, 38119-5742
Phone Number
901-261-7836
Fax Number
901-226-0215
Provider Enumeration Date
10/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6186490 01 TN BCBS
2248 01 TN TN LICENSE
T08648A 01 TN MEDICARE
Q000115 05 TN
179 01 MS MS LICENSE
institution
Provider Business Practice Location Address Details
Address
6029 Walnut Grove Rd Ste 403
City
State
Zip
38120-2112
Phone Number
901-261-7836
Fax Number
901-226-0215
person
Provider Business Mailing Address Details
Address
6029 Walnut Grove Rd Ste 403
City
State
Zip
38120-2112
Phone Number
901-261-7836
Fax Number
901-226-0215
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
179 (Mississippi)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2248 (Tennessee)
Definition
Definition to come...
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