Provider Demographics
NPI:1962285825
Name:PHAM, KARI NHI (PA-C)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:NHI
Last Name:PHAM
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4772 NAVY RD STE A
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053-1957
Mailing Address - Country:US
Mailing Address - Phone:901-873-0570
Mailing Address - Fax:901-873-0931
Practice Address - Street 1:6490 MEMPHIS ARLINGTON RD STE 106
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38135-7439
Practice Address - Country:US
Practice Address - Phone:901-762-1531
Practice Address - Fax:901-762-1532
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2024-12-05
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Provider Licenses
StateLicense IDTaxonomies
TN6013363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant