Individual provider · Type 1 NPI

Antasia M. Kersch

Medical Physician Assistant · Rockford, IL

NPI number 1801369236 Active

Practice location

5666 E State St
Rockford, IL 61108-2425

Mailing address

5668 E State St Ste 1500
Rockford, IL 61108-2481

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1801369236

Antasia M. Kersch's National Provider Identifier is 1801369236, issued on Jan 8, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rockford, IL. The record was last updated on Jul 1, 2024.