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Individual

DAVID PAUL KESEG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
126 E 2ND ST, CHILLICOTHE, OH 45601
(513) 834-7063
(513) 873-1567
Mailing address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
(513) 873-1567

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35044161K
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
35044161
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000139613
ANTHEM/BCBS
OH
01
000000315469
BCBS MEMORIAL
OH
01
000000319941
BCBS
01
000000326488
BCBS CIRCLEVILLE
01
000000360660
BCBS
OH
01
000000543737
ANTHEM BCBS
OH
05
0406000
OH
01
104734168
MICHIGAN MEDICAID
01
P00066458
RAILROAD MEDICARE
01
P00187423
MEDICARE RR/ADENA
OH
01
P00268378
RAIL ROAD MEDICARE
Enumeration date
04/27/2006
Last updated
12/02/2019
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