Kersten, Gary Lynn
Kersten, Gary Lynn is an sole proprietor health care provider with primary practice located at 9515 W Camelback Rd Ste 108, Phoenix AZ 85037-1355. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Kersten, Gary Lynn can be contacted via phone (602) 428-0068.Contact Information
Primary practice address
9515 W Camelback Rd Ste 108
Phoenix AZ 85037-1355
Phone: (602) 428-0068
Fax: (602) 428-0069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 21176 | Arizona |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 21176 | Arizona |
Profile Details
| NPI number | 1861494197 |
|---|---|
| LBN Legal business name | Kersten, Gary Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | Aug 31st, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861494197 | NPPES |
| Arizona | MEDICAID | 173873 |
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