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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEITH BRADFORD KESSEL, M.D.

Deactivated Sole Proprietor

KEITH BRADFORD KESSEL, M.D. is a Geriatric Psychiatry healthcare provider located in SHREVEPORT, Louisiana. NPI 1982696381 is deactivated in the NPPES registry. Verify at CMS.

Geriatric Psychiatry · SHREVEPORT, LA

This NPI has been deactivated. The record was deactivated on March 27, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1982696381
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2005 (0.59452054794521 yrs)
Last Updated
Aug 13, 2014
Deactivated
Mar 27, 2006
Licenses
10227R (LA)
LA10227R (LA)
Sole Proprietor
Yes

Practice Information

Address
745 OLIVE ST
SUITE 109
SHREVEPORT, LA, 711042246
Browse LA providers · Browse ZIP 71104
Phone
3182216070
Fax
3182216069
Primary Specialty
Geriatric Psychiatry
2084P0805X
Additional Specialty
Psychiatry

Other Geriatric Psychiatry Providers in SHREVEPORT, LA

Name Credential NPI
JEFFREY T OVERDYKE MD 1942414552
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.