Doctor Name: | KIMBERLY ANN KESER |
NPI Number: | 1053391151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CS-FNP |
License Number: | 126562 |
Business Practice Address: | 1702 N. Kingshighway Cape Girardeau, MO - 637012122 |
Business Phone Number: | 5733392000 |
Business Fax Number: | 5733391876 |
Mailing Address: | 1702 N. Kingshighway, CAPE GIRARDEAU |
State: | MO |
Postal Code: | 637012122 |
Phone Number: | 5733392000 |
Fax Number: | 5733391876 |
NPI Enumeration Date: | 01/17/2006 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 126562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |