Individual
CARL KESGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4650 STATE ROAD 16, SAINT AUGUSTINE, FL 32092-0600
(904) 940-2193
Mailing address
4650 STATE ROAD 16, SAINT AUGUSTINE, FL 32092-0600
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
PU6294
FL
1835P1200X
Pharmacotherapy Pharmacist
17774
NC
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS40314
FL
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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