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Individual
MARK A KESTLER
Active
Individual
MARK A KESTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3012685
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030926
—
IN
05
—
7100560570
—
KY
01
—
K259771
MEDICARE
KY
Enumeration date
10/09/2018
Last updated
02/09/2023
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