Individual
GREGORY P KERSGIETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,LAT
Contact information
Practice address
2501 N. BLACKWELDER AVE., OKLAHOMA CITY, OK 73106
(405) 208-5317
(405) 208-5305
Mailing address
1404 CARRICK COURT, EDMOND, OK 73034
(405) 208-5317
(405) 208-5305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT123
OK
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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