Individual
KEITH A KARSTENS
Active
Individual
KEITH A KARSTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
00911
IA
103TC0700X
Clinical Psychologist
Primary
00404
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1240408
—
IA
01
—
37250
WELLMARK
IA
Enumeration date
03/28/2006
Last updated
12/21/2007
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