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Contact Information

GARY L KERSTEN, MD
9515 W CAMELBACK RD
STE 108
PHOENIX, AZ85037-1355
 Phone: 602-428-0068
 Fax: 602-428-0069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebology

202K00000X
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GARY L KERSTEN · (Male)

NPI Number 1861494197
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2005
Last updated 08/31/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 21176
  • AZ Medicaid 173873
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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