Provider Demographics
NPI:1780391763
Name:GEHLING, KERSTIN ELIZABETH (DC)
Entity type:Individual
Prefix:
First Name:KERSTIN
Middle Name:ELIZABETH
Last Name:GEHLING
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15215 125TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56329-9232
Mailing Address - Country:US
Mailing Address - Phone:507-884-4166
Mailing Address - Fax:
Practice Address - Street 1:15215 125TH AVE NE
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:MN
Practice Address - Zip Code:56329-9232
Practice Address - Country:US
Practice Address - Phone:507-884-4166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14761111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor