Provider Demographics
NPI:1699975474
Name:KERSTEN, ANDREW DOUGLAS (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DOUGLAS
Last Name:KERSTEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:915 TATE BLVD SE STE 190
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-4042
Mailing Address - Country:US
Mailing Address - Phone:828-294-7793
Mailing Address - Fax:828-330-2060
Practice Address - Street 1:800 FLEMING ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3528
Practice Address - Country:US
Practice Address - Phone:828-294-7793
Practice Address - Fax:828-330-2030
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201300970207X00000X, 207XX0005X, 207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC181WROtherBCBS NC
NC181WROtherBCBS OF NC
NC201300970OtherSTATE LICENSE
NCP01309248OtherRR MEDICARE
NC201300970OtherSTATE LICENSE