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Individual

DR. RICHARD S KERSTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1401 MADISON AVE, COVINGTON, KY 41011-3313
(859) 655-6100
Mailing address
1945 CEI DRIVE, CINCINNATI, OH 45242-3311
(513) 569-3741
(513) 569-3941

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12615
KY
207W00000X
Ophthalmology Physician
35027971
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000021262
BCBS
05
0034984
OH
05
100373690
IN
01
180026069
RAILROAD MEDICARE
OH
05
64733280
KY
Enumeration date
06/08/2006
Last updated
05/06/2021
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