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Individual

BRIAN M. KESKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1720 BEACON ST, FORT WAYNE, IN 46805-4749
(260) 373-8000
(260) 373-8034
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002374A
IN

Other

Enumeration date
12/05/2017
Last updated
10/11/2022
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