Provider Demographics
NPI:1558728329
Name:KESLING, ROBERT L (RPH)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:KESLING
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 509
Mailing Address - Street 2:
Mailing Address - City:LOGANSPORT
Mailing Address - State:IN
Mailing Address - Zip Code:46947-0509
Mailing Address - Country:US
Mailing Address - Phone:574-753-5888
Mailing Address - Fax:
Practice Address - Street 1:2200 W DELAWARE RD
Practice Address - Street 2:
Practice Address - City:LOGANSPORT
Practice Address - State:IN
Practice Address - Zip Code:46947-6605
Practice Address - Country:US
Practice Address - Phone:574-753-5888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26016952A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist