Individual
ELENA U KESTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1415 E VENICE AVE, VENICE, FL 34292-3064
(941) 488-5300
(941) 412-1003
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7172
(941) 488-5300
(941) 412-1003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1383
TN
Other
Enumeration date
11/01/2006
Last updated
06/28/2016
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