Individual
DR. GARY WAYNE KERSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
313 W. WALL ST., STE.200, GRAPEVINE, TX 76051
(817) 310-3334
(817) 310-3334
Mailing address
313 W. WALL ST., STE.200, GRAPEVINE, TX 76051
(817) 310-3334
(817) 310-3334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608018
BCBS
TX
Enumeration date
10/04/2006
Last updated
07/08/2007
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