Bergeron, Kera

Bergeron, Kera is an sole proprietor health care provider with primary practice located at 6029 Walnut Grove Rd Ste 403 , Memphis TN 38120-2112. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Bergeron, Kera can be contacted via phone (901) 261-7836.

Contact Information

Primary practice address
6029 Walnut Grove Rd Ste 403 Memphis TN 38120-2112
Phone: (901) 261-7836
Fax: (901) 226-0215
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2248 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 179 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 179 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2248 Tennessee

Profile Details

NPI number 1629322607
LBN Legal business name Bergeron, Kera
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2012
Last updated Sep 10th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629322607 NPPES
Tennessee Other 6186490 BCBS
Tennessee Other 2248 BCBS
Tennessee Other T08648A BCBS
Tennessee MEDICAID Q000115 BCBS
Tennessee Other 179 BCBS

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