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Contact Information

KEITH B. KESSEL M.D., LLC
745 OLIVE ST STE 109
SHREVEPORT, LA71104-2250
 Phone: 318-221-6070
 Fax: 318-221-6069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KEITH B KESSEL MD LLC · (Female)

NPI Number 1518272129
Status Active
Credentials
Entity Individual
Enumeration date 08/09/2010
Last updated 08/09/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 10227R
  • LA Medicaid 1982237
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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