Organization
KEITH B. KESSEL M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDEE CARMAN (OFFICE MANAGER)
(318) 221-6070
Entity
Organization
Contact information
Practice address
745 OLIVE ST STE 109, SHREVEPORT, LA 71104-2250
(318) 221-6070
(318) 221-6069
Mailing address
745 OLIVE ST STE 109, SHREVEPORT, LA 71104-2250
(318) 221-6070
(318) 221-6069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10227R
LA
2084P0805X
Geriatric Psychiatry Physician
10227R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982237
—
LA
Enumeration date
08/09/2010
Last updated
08/09/2010
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