Individual
GLEN J. KESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 GARDENIA DRIVE, SUITE B, COVINGTON, LA 70433-9168
(985) 871-5900
(985) 871-5911
Mailing address
80 GARDENIA DRIVE, SUITE B, COVINGTON, LA 70433-9168
(985) 871-5900
(985) 871-5911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017291
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356794
—
LA
Enumeration date
07/16/2006
Last updated
09/17/2012
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