Individual
MRS. JENNIFER L KERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 NICOLLET MALL, SUITE 600, MINNEAPOLIS, MN 55403-2444
(612) 573-2232
(612) 573-2274
Mailing address
7505 METRO BLVD 400, EDINA, MN 55439-3010
(612) 573-2200
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
T102711
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0732909
—
IA
01
—
1047601
PREFERRED ONE
MN
01
—
133245
UCARE
MN
01
—
1604280
MEDICA
MN
05
—
172155000
—
MN
05
—
34716600
—
WI
01
—
452L4KE
BLUE CROSS BLUE SHIELD
MN
01
—
HP69501
HEALTHPARTNERS
MN
01
—
P00349001
RAILROAD MEDICARE MN
MN
Enumeration date
09/19/2006
Last updated
10/19/2015
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