Kesterson, David R

Kesterson, David R is an individual health care provider with primary practice located at 525 Saint Mary St , Thibodaux LA 70301-2627. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kesterson, David R can be contacted via phone (985) 446-6284.

Contact Information

Primary practice address
525 Saint Mary St Thibodaux LA 70301-2627
Phone: (985) 446-6284
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 302525 Louisiana

Profile Details

NPI number 1619327087
LBN Legal business name Kesterson, David R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Jul 26th, 2016 - about 9 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 1619327087 NPPES
Louisiana MEDICAID 2423410

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