Provider Demographics
NPI:1942421466
Name:KERSTING, KACEY DAWN (CNM, WHNP, FNP)
Entity type:Individual
Prefix:
First Name:KACEY
Middle Name:DAWN
Last Name:KERSTING
Suffix:
Gender:F
Credentials:CNM, WHNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5810 SAMSTONE CT
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5753
Mailing Address - Country:US
Mailing Address - Phone:513-403-4333
Mailing Address - Fax:855-975-2404
Practice Address - Street 1:10547 MONTGOMERY RD STE 500-3
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-4418
Practice Address - Country:US
Practice Address - Phone:513-400-4333
Practice Address - Fax:855-975-2404
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNM-08939176B00000X
OHCOA.11705NP363LW0102X
OHAPRN.CNP.11705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No176B00000XOther Service ProvidersMidwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health