Kerry Taylor Or Kerry Taylor, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

990391 Issued in NC

Legal business name

KERRY TAYLOR OR KERRY TAYLOR, INC.

Practice address

102 W 3Rd St
Suite 330
Winston Salem, NC 27101-3915

Phone

(336) 723-7707

Fax

(336) 723-7708

NPI assigned

Sep 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Laura G Brown

Title

Assistant to Owner

Phone

(336) 723-7707

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• It Takes A Village Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1790877264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 3RD ST",
            "address_2": "SUITE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013915",
            "telephone_number": "336-723-7707",
            "fax_number": "336-723-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 3RD ST",
            "address_2": "SUITE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013915",
            "telephone_number": "336-723-7707",
            "fax_number": "336-723-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY TAYLOR OR KERRY TAYLOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ASSISTANT TO OWNER",
        "authorized_official_telephone_number": "336-723-7707",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "990391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "6006015",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300294",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "It Takes A Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nickolas Andrew Kephart, D.D.S.
• Jenna Kerby, MD
• Chandler Grant Kern
• Matthew Kern, M.D.
• Theodore Charles Kerner Jr., MD
• Stuart Kersky, R.PH.
• Julie Renee Kerth, CPNP-AC
• Bhumi Kirit Kesar
• Varun Kesar, M.D.
• Kendra Kesty, MD

• Health Maintenance Organization in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Health Maintenance Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.