Doctor Name: | DR. PETER ROBERT KESLING |
NPI Number: | 1174607386 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD00012846 |
Business Practice Address: | 2703 Jahn Ave Nw Suite C-5 Storks, P.s. Gig Harbor, WA - 983350000 |
Business Phone Number: | 2538516992 |
Business Fax Number: | 2538583425 |
Mailing Address: | 2703 Jahn Ave Nw Suite C-5, Storks, P.s. GIG HARBOR |
State: | WA |
Postal Code: | 983350000 |
Phone Number: | 2538516992 |
Fax Number: | 2538583425 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 05/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD00012846 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |