Gregory Kersgieter, ATC,LAT

NPI 1073723615 · on the registry since 2007 · sole proprietor

Practice

Address: 2501 N. Blackwelder Ave.
Oklahoma City, OK 73106
Phone: (405) 208-5317
Fax: (405) 208-5305
Organisation at this address: Oklahoma City University
Oklahoma City University
Oklahoma City University Campus Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma