TIMOTHY P KERUT

VICKSBURG, MS
NPI1932130127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: MS  11047)
Enumeration Date2006-07-05
Last Update Date2020-09-10
Business Address
TIMOTHY P KERUT MD
2200 HIGHWAY 61 N
VICKSBURG, MS 39183-8246
Phone number: 601-883-3320
Mailing Address
TIMOTHY P KERUT MD
104 MCAULEY DR
VICKSBURG, MS 39183-2825
Phone number: 601-638-7271