Individual provider · Type 1 NPI
Timothy P. Kerut, MD
Allergy & Immunology Physician · Vicksburg, MS
Practice location
2200 Highway 61 N
Vicksburg, MS 39183-8246
Mailing address
104 Mcauley Dr
Vicksburg, MS 39183-2825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology Physician Primary | 207K00000X | 11047 (MS) |
Allergy & Immunology Physician: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune dise…
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- Carrie Eure, PA-CPhysician Assistant Vicksburg, MS NPI 1154789717
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- John David Fagan, MDUrology Physician Vicksburg, MS NPI 1801827019
- Kenyatta Nicole Wilson, NP-CFamily Nurse Practitioner Vicksburg, MS NPI 1457633034
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About NPI 1932130127
Timothy P. Kerut, MD's National Provider Identifier is 1932130127, issued on Jul 5, 2006. The primary taxonomy on file is Allergy & Immunology Physician (207K00000X), and the practice location is in Vicksburg, MS. The record was last updated on Sep 29, 2026.