Individual
DR. NATHAN L KESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 S NATIONAL AVE DEPT OF, SPRINGFIELD, MO 65807-5210
(417) 269-4056
Mailing address
1530 E BRADFORD PKWY, SPRINGFIELD, MO 65804-6565
(417) 877-0624
(417) 851-5080
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
R1J52
MO
2085R0202X
Diagnostic Radiology Physician
22918
WA
2085R0202X
Diagnostic Radiology Physician
43089-020
WI
2085R0202X
Diagnostic Radiology Physician
Primary
R1J52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125353000
US DEPT. OF LABOR
—
05
—
1770541013
—
MO
05
—
178031001
—
AR
05
—
203076369
—
MO
01
—
3416014
CIGNA
—
01
—
P00003785
RR MEDICARE
—
01
—
P00894334
RR MEDICARE
AR
Enumeration date
05/03/2006
Last updated
01/17/2019
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