Individual
KIMBERLY ANN KESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CS-FNP
Contact information
Practice address
117 E CLARK ST, HARRISBURG, IL 62946-2702
(618) 252-8625
(618) 351-4859
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026722
IL
363LF0000X
Family Nurse Practitioner
126562
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157314
BCBS
MO
01
—
480283
HEALTHLINK
MO
05
—
595400003
—
MO
Enumeration date
01/17/2006
Last updated
10/03/2024
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