Organization
KESTER RADIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN L KESTER MD (OWNER/PHYSICIANS)
(417) 877-0624
Entity
Organization
Contact information
Practice address
2828 N NATIONAL AVE, DEPT. OF RADIOLOGY, SPRINGFIELD, MO 65803-4306
(417) 837-4240
Mailing address
1335 E INDEPENDENCE ST, SPRINGFIELD, MO 65804-4262
(417) 877-0624
(417) 877-0697
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138117XX
PREFERRED CARE
—
01
—
16-03069
UNITED HEALTHCARE
—
01
—
187799
BLUE CROSS/BLUE SHIELD
MO
Enumeration date
05/03/2006
Last updated
04/20/2008
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