# JSK PROFESSIONAL PHYSICIAN SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912935578
- **Authorized official:** JOHN KESSELS MD (DIRECTOR)
- **Authorized official phone:** (985) 871-6088

## Contact information

- **Practice address:** 16300 HIGHWAY 1085, COVINGTON, LA 70433-7227
- **Practice address phone:** (985) 871-6088
- **Mailing address:** PO BOX 54528, NEW ORLEANS, LA 70154-4528
- **Mailing address phone:** (985) 845-9000
- **Mailing address fax:** (985) 845-9003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 10/10/2007