Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Forked Deer River Inpatient Services, PLLC

Organization Internal Medicine Physician · NPI 1750717195

Forked Deer River Inpatient Services, PLLC is an Internal Medicine Physician in Dyersburg, Tennessee. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 E Tickle St
Dyersburg, TN 38024-3120
Phone: (731) 285-2410
Fax: (800) 305-3233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1750717195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (973) 251-1132
NPI enumeratedSeptember 17, 2013
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020
Mailing address815 S Palafox St, 3rd Floor, Pensacola, FL 32502-5960

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