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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1861494197 NPPES
Arizona MEDICAID 173873

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