Individual
DR. KENNETH M KEARSTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
373 E MAIN ST, SUITE 10, SOMERVILLE, NJ 08876-3143
(908) 526-5868
(908) 253-9826
Mailing address
373 E MAIN ST, SUITE 10, SOMERVILLE, NJ 08876-3143
(908) 526-5868
(908) 253-9826
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00541500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2178813
UNITED HEALTH CARE
NJ
01
—
7931030
AETNA
NJ
01
—
P2559619
OXFORD
NJ
Enumeration date
06/08/2006
Last updated
06/16/2008
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