Individual
JENNIFER H KERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
702 BARNHILL DR, INDIANAPOLIS, IN 46202-5128
(317) 274-3936
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01049257A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
01049257
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000738273
ANTHEM PTAN
IN
05
—
200323270
—
IN
Enumeration date
07/17/2006
Last updated
11/11/2024
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