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Stephen Ray Kessinger, DO

Emergency Medicine in Lewiston, ID. Individual provider (NPI-1).

NPI number1891007167
StatusActive
Last updated in NPPESJul 29, 2014

Details

NPI
1891007167
Entity type
Individual (NPI-1)
Name
Stephen Ray Kessinger
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 2, 2010
Last updated
Jul 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineO-0781IDYes
390200000X Student in an Organized Health Care Education/Training ProgramOT013461PA

Practice location

415 6th St
Lewiston, ID 83501-2431

Phone 208-731-2511

Mailing address

415 6th St
Lewiston, ID 83501-2431

Phone 208-731-2511

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