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Individual
REBECCA L KESMAN
Active
Individual
REBECCA L KESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010-01475
NC
207R00000X
Internal Medicine Physician
Primary
250290
MA
207R00000X
Internal Medicine Physician
48453
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043675000
—
MN
05
—
35100500
—
WI
05
—
5918008
—
NC
05
—
ENROLLED
—
IA
05
—
NC1396
—
SC
01
—
P00450113
RAILROAD MEDICARE
MN
Enumeration date
07/28/2006
Last updated
03/13/2019
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