Provider Demographics
NPI:1841275039
Name:KESLER, KEITH E (DO)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:E
Last Name:KESLER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1101 S CAPITAL OF TEXAS HWY
Mailing Address - Street 2:SUITE A-280
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6445
Mailing Address - Country:US
Mailing Address - Phone:512-347-0650
Mailing Address - Fax:512-329-5108
Practice Address - Street 1:1101 S CAPITAL OF TEXAS HWY
Practice Address - Street 2:SUITE A-280
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6445
Practice Address - Country:US
Practice Address - Phone:512-347-0650
Practice Address - Fax:512-329-5108
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG97582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXA67256Medicare UPIN