Individual
DR. KEITH A KERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
123 S 27TH AVE, HATTIESBURG, MS 39401-7136
(601) 450-3030
(601) 450-3031
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-3700
(601) 450-2493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
16793
MS
207Q00000X
Family Medicine Physician
Primary
16793
MS
207Q00000X
Family Medicine Physician
328332
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124654
—
MS
01
—
10980253
CAQH ID NUMBER
MS
05
—
1145459
—
LA
01
—
4122846
AETNA
MS
01
—
P00718593
RAILROAD MEDICARE
MS
Enumeration date
05/18/2006
Last updated
09/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us