Kerley, Roger K
Kerley, Roger K is an individual health care provider with primary practice located at 865 W Lake Dr , Mt Airy NC 27030-2157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kerley, Roger K can be contacted via phone (336) 719-6100.Contact Information
Primary practice address
865 W Lake Dr
Mt Airy NC 27030-2157
Phone: (336) 719-6100
Fax: (336) 719-2313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24602 | North Carolina |
Profile Details
| NPI number | 1093787061 |
|---|---|
| LBN Legal business name | Kerley, Roger K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Feb 1st, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093787061 | NPPES |
| North Carolina | MEDICAID | 8948548 |
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