Kersey, Patrick A

Kersey, Patrick A is an individual health care provider with primary practice located at 201 S Delaware St # 500 , Indianapolis IN 46204-3746. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kersey, Patrick A can be contacted via phone (317) 415-5747.

Contact Information

Primary practice address
201 S Delaware St # 500 Indianapolis IN 46204-3746
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01050172A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 01050172A Indiana

Profile Details

NPI number 1053365825
LBN Legal business name Kersey, Patrick A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053365825 NPPES
Indiana MEDICAID 200314590A
Indiana Other P00123789

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