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Forked Deer River Inpatient Services, Pllc

Internal Medicine Physician in Dyersburg, TN · enumerated 2013 · authorized official Kathy Kondas, Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750717195

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Registry record

Entity type Organization (Type 2)
Legal business name Forked Deer River Inpatient Services, Pllc
Practice address 400 E Tickle St, Dyersburg, TN, 38024
Fax (800) 305-3233
Enumeration date Sep 17, 2013
Last updated in NPPES Dec 21, 2020

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kathy Kondas
Title Officer

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Forked Deer River Inpatient Services, Pllc?
NPPES lists Kathy Kondas (Officer) as the authorized official for this organization.
What is the NPI number for Forked Deer River Inpatient Services, Pllc?
The NPI for Forked Deer River Inpatient Services, Pllc is 1750717195, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-21.