Individual
MR. MICHAEL G. KESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
225 MEDICAL CENTER DR STE 405, PADUCAH, KY 42003-7914
(270) 441-4750
Mailing address
1020 N MAIN ST, BEAVER DAM, KY 42320-1553
(270) 274-0480
(270) 274-0482
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3001559
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000604457
ANTHEM BCBS
KY
05
—
74004649
—
KY
Enumeration date
10/03/2006
Last updated
03/17/2018
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