MEDICARE: TREVOR KERSTETTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	MD477459	PA

General Provider Information

NPI Number	:	1609303767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREVOR KERSTETTER MD

Provider Business Mailing Address
First Line	:	2501 N 3RD ST FL 2
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-1904
Country	:	US
Telephone Number	:	717-782-2100
Fax Number	:	717-782-2121

Provider Business Practice Location Address
First Line	:	10800 KNIGHTS RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-4200
Country	:	US
Telephone Number	:	215-612-2610
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2017
Last Update Date	:	02/26/2026

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