Gary Lynn Kersten is a Phlebology in Phoenix, Arizona. Gary Lynn Kersten practices all healthcare services and medical treatments related to Phlebology. The NPI Number for Gary Lynn Kersten is 1861494197. The last update date is 2013-08-31.
Gary Lynn Kersten's current location address is 9515 W Camelback Rd, Phoenix, Arizona. You can contact this provider via phone number 6024280068 and fax number 6024280069. The mailing address for Gary Lynn Kersten is 9515 W Camelback Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gary Lynn Kersten |
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Address | 9515 W Camelback Rd, Phoenix, Arizona |
Phone Number | 6024280068 |
Fax Number | 6024280069 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1861494197 |
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Provider Enumeration Date | 2005-05-31 |
Last Updated Date | 2013-08-31 |
Provider Mailing Address Detail
Address | 9515 W Camelback Rd |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 8503713550 |
Phone Number | 6024280068 |
Fax Number | 6024280069 |
Provider's Primary Taxonomy Detail
Speciality | Phlebology |
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Taxonomy | 202K00000X |
Licence No | 21176 |
Definition: Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and o |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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173873 | AZ | -- |
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What is the unique identification code assigned to Gary Lynn Kersten by the Centers for Medicare & Medicaid Services?
The Gary Lynn Kersten has been issued the NPI (National Provider Identifier) 1861494197. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gary Lynn Kersten's physical address?
The Gary Lynn Kersten is physically located at 9515 W Camelback Rd, in the city of Phoenix, AZ, with the postal code 8503713550.
What is Gary Lynn Kersten's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Lynn Kersten's area of specialization is Phlebology, and the corresponding taxonomy code that categorizes this field of practice is 202K00000X.
When was the Gary Lynn Kersten's 1861494197 issued?
The Gary Lynn Kersten's 1861494197 was issued on 2005-05-31.
As of what date were the details related to Gary Lynn Kersten most recently updated or revised?
The information pertaining to Gary Lynn Kersten, including its address, specialty, and other relevant details, was last updated or revised on 2013-08-31.