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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 M.D., LLC

NPI # 1518272129
LBN Legal business name KEITH B. KESSEL M.D., LLC
Authorized official CANDEE CARMAN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2010
Last updated 08/09/2010 - About 16 years ago
Identifiers
LA License # 10227R
LA Medicaid 1982237
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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