DR. KEITH A KERSTEN


Address: 123 S 27th Ave, Hattiesburg, MS 39401-7136
Phone: 6014503030

DR. KEITH A KERSTEN (NPI# 1861445108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861445108
Entity Type Individual
Full Name DR. KEITH A KERSTEN
Credential D.O.
Practice Address 123 S 27th Ave
Hattiesburg
MS 39401-7136
Mailing Address Po Box 1729
Hattiesburg
MS 39403-1729
Practice Telephone 6014503030
Practice Fax Number 6014503031
Mailing Telephone 6015453700
Mailing Fax Number 6014502493
Enumeration Date 2006-05-18
Last Update Date 2019-05-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 16793 MS Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 16793 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS RAILROAD MEDICARE P00718593 01
MS 00124654 05
MS CAQH ID NUMBER 10980253 01
LA 1145459 05
MS AETNA 4122846 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
66 Old Airport Rd, Hattiesburg, MS 394018382 6015447500 6015447524

Office Location

Street Address 123 S 27TH AVE
City HATTIESBURG
State MS
Zip Code 39401-7136

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598315863 Lisa Thornton Technician 18 Timberline Dr., Hattiesburg, MS 39401 2019-09-18
1548813637 Caroline Estes Barnes Counselor Barnes, 8 App Slade Road, Hattiesburg, MS 39401 2019-07-18
1396252441 Selection Healthcare Services, LLC In Home Supportive Care 606 Adeline St Ste 1c, Hattiesburg, MS 39401 2018-01-10
1225545585 Whitney Wilkinson Nurse Practitioner 301 South 28th Avenue, Hattiesburg, MS 39401 2018-01-08
1740795806 Forrest General Hospital Pharmacy 1414 South 28th Avenue, Hattiesburg, MS 39401 2017-12-11
1275058455 Casey Payne Pharmacist 6130 Us 49, Hattiesburg, MS 39401 2017-08-08
1225562705 Sarah Marie Hudson Family Medicine 6051 Us Highway 49 S, Hattiesburg, MS 39401 2017-04-12
1043671704 The Covington's Cove Assisted Living Center LLC Assisted Living Facility 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 2016-03-09
1780083626 Dominique Reed Watson Pharmacist 602 Adeline St, Hattiesburg, MS 39401 2014-08-15
1558778936 Willie Davis Jr. Day Training, Developmentally Disabled Services 701 Duke Ave., Hattiesbiurg, MS 39401 2014-07-17
Find all providers in zip 39401

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679053979 Hattiesburg Clinic, Pa Family Medicine South 28th Avenue Family Medicine, 1101 South 28th Avenue, Suite C, Hattiesburg, MS 39402 2018-08-16
1699267625 Forrest County General Hospital Family Medicine 415 S 28th Ave Fl 1, Hattiesburg, MS 39401-7246 2018-06-05
1225562705 Sarah Marie Hudson Family Medicine 6051 Us Highway 49 S, Hattiesburg, MS 39401 2017-04-12
1316390289 Jenisus Marie Owens Family Medicine 5909 U S Highway 49 Ste 20, Hattiesburg, MS 39402-2860 2016-07-15
1760877948 Jason Fisher Family Medicine 1101 S 28th Ave Ste C, Hattiesburg, MS 39402 2015-04-03
1871829929 Adeline After-hour Care, LLC Family Medicine 1307 Adeline St, Hattiesburg, MS 39401-5028 2009-10-26
1366691644 Stephen Marc Wascomb Family Medicine 2556 Old Highway 24, Hattiesburg, MS 39402-8311 2008-09-11
1396902409 Tonya G Creech Family Medicine 3700 Hardy St Ste 10, Hattiesburg, MS 39402-1614 2008-05-19
1265631907 Ikechukwu Okorie Family Medicine 908 W Pine St, Hattiesburg, MS 39401-4262 2007-07-13
1740374255 Stephen Massey Family Medicine 6600 Us Hwy 98, Suite B, Hattiesburg, MS 39402 2006-10-02
Find all providers in HATTIESBURG

Competitor

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City HATTIESBURG
Zip Code 39401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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