Provider Demographics
NPI:1679502314
Name:KERLEY, MEI-FUNG (MD)
Entity Type:Individual
Prefix:
First Name:MEI-FUNG
Middle Name:
Last Name:KERLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-1217
Mailing Address - Country:US
Mailing Address - Phone:865-633-0353
Mailing Address - Fax:423-979-3483
Practice Address - Street 1:2001 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1217
Practice Address - Country:US
Practice Address - Phone:865-633-0353
Practice Address - Fax:865-633-0353
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24685207RA0401X, 207R00000X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN74161229Medicare UPIN