| Kerry L. Musick, Md, Pllc | |
|
136 Fairview Rd Ste 125 Mooresville NC 28117-8547 | |
| (704) 677-7635 | |
| (980) 435-0398 |
| Full Name | Kerry L. Musick, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 136 Fairview Rd Ste 125, Mooresville, North Carolina |
| Authorized Official Name and Position | Kerry Lynn Musick (OWNER) |
| Authorized Official Contact | 7046513156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry L. Musick, Md, Pllc 136 Fairview Rd Ste 125 Mooresville NC 28117-8547 Ph: (704) 651-3156 | Kerry L. Musick, Md, Pllc 136 Fairview Rd Ste 125 Mooresville NC 28117-8547 Ph: (704) 677-7635 |
| NPI Number | 1710402904 |
|---|---|
| Provider Enumeration Date | 08/08/2017 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Medicare PECOS PAC ID | 0244599165 |
|---|---|
| Medicare Enrollment ID | O20180122001165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710402904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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