Individual
COLTON GALE KESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
950 N PORTER AVE STE 200, NORMAN, OK 73071-6400
(405) 329-0121
Mailing address
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
(801) 581-7766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4928
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2021
Last updated
10/27/2022
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