Provider Demographics
NPI:1114328655
Name:MAJORS, KEVIN (NP-C)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:
Last Name:MAJORS
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 FEDERAL DR
Mailing Address - Street 2:
Mailing Address - City:SELMER
Mailing Address - State:TN
Mailing Address - Zip Code:38375-1876
Mailing Address - Country:US
Mailing Address - Phone:731-645-7952
Mailing Address - Fax:731-645-8898
Practice Address - Street 1:714 FEDERAL DR
Practice Address - Street 2:
Practice Address - City:SELMER
Practice Address - State:TN
Practice Address - Zip Code:38375-1876
Practice Address - Country:US
Practice Address - Phone:731-645-7952
Practice Address - Fax:731-645-8898
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19130363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily