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General NPI Number Information
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NPI Number | 1942421466
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Entity Type | Individual
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Provider Name | KACEY DAWN KERSTING CNM, WHNP, FNP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 10547 MONTGOMERY RD STE 500-3
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City | MONTGOMERY
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State | OH
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Zip | 45242-4418
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Country | US
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Telephone | 513-400-4333
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Fax | 855-975-2404
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Provider Business Mailing Address
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Address Line | 5810 SAMSTONE CT
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City | BLUE ASH
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State | OH
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Zip | 45242-5753
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Country | US
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Telephone | 513-403-4333
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Fax | 855-975-2404
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | NM-08939
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | COA.11705NP
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.11705
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License Number State | OH
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