| Joshua Kershen Md Pc | |
|
4221 S Western Ave 5000 Oklahoma City OK 73109-3447 | |
| (405) 644-5160 | |
| (405) 644-5162 |
| Full Name | Joshua Kershen Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4221 S Western Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Joshua Colgrove Kershen (PHYSICIAN) |
| Authorized Official Contact | 4056445160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Kershen Md Pc 4221 S Western Ave 5000 Oklahoma City OK 73109-3447 Ph: (405) 644-5160 | Joshua Kershen Md Pc 4221 S Western Ave 5000 Oklahoma City OK 73109-3447 Ph: (405) 644-5160 |
| NPI Number | 1063733954 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 07/22/2015 |
| Medicare PECOS PAC ID | 0345365268 |
|---|---|
| Medicare Enrollment ID | O20100916000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063733954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 21739 (Oklahoma) | Primary |
| Provider Name | Joshua C Kershen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770521064 PECOS PAC ID: 5890772875 Enrollment ID: I20100921001485 |
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