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Individual

THOMAS JOHN KERSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
480 CENTRAL AVE, SMART, PEARL HARBOR, HI 96860-4908
(850) 291-9434
(808) 473-2473
Mailing address
480 CENTRAL AVE, SMART, PEARL HARBOR, HI 96860-4908
(850) 291-9434
(808) 473-2473

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
GFE56709
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD-14508
HI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD-14508
HI

Other

Enumeration date
01/23/2006
Last updated
09/15/2023
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