Provider Demographics
NPI:1629314711
Name:KERSH RISK MANAGEMENT LLC
Entity Type:Organization
Organization Name:KERSH RISK MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:LAWSON
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:972-562-0028
Mailing Address - Street 1:2600 TECHNOLOGY DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3732
Mailing Address - Country:US
Mailing Address - Phone:972-562-0028
Mailing Address - Fax:972-562-9466
Practice Address - Street 1:2600 TECHNOLOGY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-3732
Practice Address - Country:US
Practice Address - Phone:972-562-0028
Practice Address - Fax:972-562-9466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization