Provider Demographics
NPI:1063787430
Name:CHERMAK, KEVIN ARTHUR (DVM)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ARTHUR
Last Name:CHERMAK
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 GARRETT ST
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38556-4228
Mailing Address - Country:US
Mailing Address - Phone:931-704-3454
Mailing Address - Fax:931-752-4838
Practice Address - Street 1:304 GARRETT ST
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:TN
Practice Address - Zip Code:38556-4228
Practice Address - Country:US
Practice Address - Phone:931-704-3454
Practice Address - Fax:931-752-4838
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-18
Last Update Date:2012-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDV0000004768174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian