Tycho E Kersten in Spokane - Sports Medicine
Tycho E Kersten - NPI 1568438562
Tycho E Kersten is a Sports Medicine in Spokane, Washington. Tycho E Kersten practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Tycho E Kersten is 1568438562. The last update date is 2011-08-04.
Tycho E Kersten's current location address is 601 W 5th Ave, Spokane, Washington. You can contact this provider via phone number 5093442663 and fax number 5096249179. The mailing address for Tycho E Kersten is 601 W 5th Ave, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tycho E Kersten |
|---|---|
| Address | 601 W 5th Ave, Spokane, Washington |
| Phone Number | 5093442663 |
| Fax Number | 5096249179 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1568438562 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2011-08-04 |
Provider Mailing Address Detail
| Address | 601 W 5th Ave |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992042715 |
| Phone Number | 5093442663 |
| Fax Number | 5096249179 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | MD00039855 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 379109600 | WA | OWCP | |
| 8276586 | WA | -- | |
| 22669 | WA | GROUP HEALTH NW | |
| 149631 | WA | DEPT OF LABOR & INDUSTRIE | |
| 5030KE | WA | ASURIS NW HEALTH | |
| 806017400 | ID | -- | |
| 8928289 | WA | CRIME VICTIMS | |
| 10135813 | ID | REGENCE BLUE SHIELD | |
| 200040948 | WA | RR MEDICARE | |
| KQ803 | ID | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tycho E Kersten by the Centers for Medicare & Medicaid Services?
The Tycho E Kersten has been assigned the NPI (National Provider Identifier) 1568438562 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Tycho E Kersten?
The Tycho E Kersten is situated at 601 W 5Th Ave, in the city of Spokane, state of WA, with the zip code 992042715.
What is Tycho E Kersten's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tycho E Kersten's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
When was the Tycho E Kersten's 1568438562 issued?
The Tycho E Kersten's 1568438562 was issued on 2006-02-28.
When was the information pertaining to Tycho E Kersten most recently updated or revised?
The details related to Tycho E Kersten, including its address, specialty, and other relevant information, were last updated or revised on 2011-08-04.