| Nicole Vannor Kersh, Md | |
|
750 Morphy Ave Fairhope AL 36532-1812 | |
| (251) 988-1117 | |
| Not Available |
| Full Name | Nicole Vannor Kersh, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 750 Morphy Ave, Fairhope, Alabama |
| Authorized Official Name and Position | Nicole Vannor Kersh (OWNER) |
| Authorized Official Contact | 2519881117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Vannor Kersh, Md 82 Plantation Pointe # 300 Fairhope AL 36532-2962 Ph: (251) 988-1117 | Nicole Vannor Kersh, Md 750 Morphy Ave Fairhope AL 36532-1812 Ph: (251) 988-1117 |
| NPI Number | 1346507183 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 07/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346507183 | NPI | - | NPPES |
| 137976 | Medicaid | AL | |
| 51125157 | Other | AL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30174 (Alabama) | Primary |
News Archive
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› Verified 8 days ago
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