Individual
DEBRA J KESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
315 S 13TH ST STE 2, HERRIN, IL 62948-3666
(618) 942-5883
(618) 942-5921
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001727
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-001727
STATE LICENSE NUMBER
IL
Enumeration date
03/30/2007
Last updated
08/26/2024
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