Provider Demographics
NPI:1366692485
Name:KERSTEN HEALTH, P.C.
Entity Type:Organization
Organization Name:KERSTEN HEALTH, P.C.
Other - Org Name:KERSTEN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KERSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-833-1500
Mailing Address - Street 1:PO BOX 126
Mailing Address - Street 2:630 MAIN ST. STE. A
Mailing Address - City:FREDERICK
Mailing Address - State:CO
Mailing Address - Zip Code:80530-0126
Mailing Address - Country:US
Mailing Address - Phone:303-833-1500
Mailing Address - Fax:
Practice Address - Street 1:630 MAIN ST.
Practice Address - Street 2:SUITE A
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80530-0126
Practice Address - Country:US
Practice Address - Phone:303-833-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty