Kesavan, B. S.

Kesavan, B. S. is an individual health care provider with primary practice located at 834 N Seminary St Suite 302, Galesburg IL 61401-2852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kesavan, B. S. can be contacted via phone (309) 342-2171.

Contact Information

Primary practice address
834 N Seminary St Suite 302 Galesburg IL 61401-2852
Fax: (309) 342-7205
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036052418 Illinois

Profile Details

NPI number 1396744868
LBN Legal business name Kesavan, B. S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396744868 NPPES
Illinois MEDICAID 0360524181

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