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DR. GARY LYNN KERSTEN M.D. NPI 1861494197


NPI Information

NPI: 1861494197
Provider Name: DR. GARY LYNN KERSTEN, M.D.
Classification: Phlebology - 202K00000X
Entity Type: Individual
Address:
9515 W CAMELBACK RD
STE 108
PHOENIX, AZ
ZIP 85037
Phone: (602) 428-0068
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DR. Gary Lynn Kersten, M.D. is a phlebology in Phoenix, AZ. The provider is 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 other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. DR. Gary Lynn Kersten, M.D. NPI is 1861494197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9515 W CAMELBACK RD
STE 108
PHOENIX, AZ
ZIP 85037-355
Phone: (602) 428-0068
Fax: (602) 428-0069

The enumeration date for this NPI number is 5/31/2005 and was last updated on 8/31/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology21176ARIZONANo
2202K00000XPhlebology21176ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MD21176MEDICARE ID-TYPE UNSPECIFIEDARIZONA
2B47368MEDICARE UPINARIZONA
3173873MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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