| Doctor Name: | DR. KEVIN RANDLE CESAR |
| NPI Number: | 1114051232 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 2195-057 |
| Business Practice Address: | 1020 Kabel Ave Rhinelander, WI - 545013918 |
| Business Phone Number: | 7153614700 |
| Business Fax Number: | |
| Mailing Address: | 2251 N Shore Dr, Suite 100 RHINELANDER |
| State: | WI |
| Postal Code: | 545016710 |
| Phone Number: | 7153614700 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 08/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2195-057 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |