Kessel, Keith Bradford

Kessel, Keith Bradford is an sole proprietor health care provider with primary practice located at 745 Olive St Suite 109, Shreveport LA 71104-2246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Kessel, Keith Bradford can be contacted via phone (318) 221-6070.

Contact Information

Primary practice address
745 Olive St Suite 109 Shreveport LA 71104-2246
Phone: (318) 221-6070
Fax: (318) 221-6069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 10227R Louisiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X LA10227R Louisiana

Profile Details

NPI number 1982696381
LBN Legal business name Kessel, Keith Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2005
Last updated Aug 13th, 2014 - about 10 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 1982696381 NPPES
Louisiana MEDICAID 1982237

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