Individual
MRS. DIANE WALLACE KECSKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2550 W CLINTON AVE BLDG A, FRESNO, CA 93705-4206
(559) 264-7521
(559) 233-0016
Mailing address
732 N RUSSELL AVE, CLOVIS, CA 93611-0329
(559) 289-6853
(559) 299-2587
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
G074951
CA
2084P0800X
Psychiatry Physician
Primary
G74951
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G074951
—
CA
Enumeration date
06/29/2006
Last updated
03/13/2025
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