# KELLY W KERSTEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801846381
- **Gender:** Man
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 004560 | IA | Yes |
| 225100000X | Physical Therapist | 070-014938 | IL | — |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 09/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004560 | IOWA LICENSE NUMBER | IA |
| 01 | — | 070-014938 | ILLINOIS PT LICENSE NO. | IL |