Mark T Kestner, PA
Physician Assistant in Medford, Massachusetts
1053863662- Practice location
- 44 Manning St, Medford, MA 02155-4422
- Phone
- 602-315-0423
- Fax
- —
- Last updated
- January 31, 2017
Mark Thomas Kestner is a Physician Assistant based in Medford, MA. Mark Thomas Kestner practices in Medford, MA and has the professional credentials of PA. The NPI Number for Mark Thomas Kestner is 1053863662 and holds a License No. PA6008 (MA). The current practice location address for Mark Thomas Kestner is 44 Manning St, Medford, MA 02155-4422 and can be reached out via phone at 602-315-0423.
Provider Profile Details
- NPI Number
- 1053863662
- Provider Name
- Mark Thomas Kestner
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 44 Manning St, Medford, MA 02155-4422
- Phone Number
- 602-315-0423
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 30, 2016
- Last Update Date
- January 31, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 44 Manning St
Medford, MA 02155-4422 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4422
- Phone Number
- 602-315-0423
Provider Business Mailing Address Details
- Address
- 44 Manning St
Medford, MA 02155-4422 - City
- Medford
- State
- MA
- Zip
- 02155-4422
- Phone Number
- 602-315-0423
License Information
- License Number
- PA6008
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark T Kestner, PA?
The NPI number of Mark T Kestner, PA is 1053863662. It was assigned on October 30, 2016 and is currently active in the NPPES registry.
What is the specialty of Mark T Kestner, PA?
Mark T Kestner, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA6008.
Where does Mark T Kestner, PA practice?
The practice location is 44 Manning St, Medford, MA 02155-4422. The office can be reached at 602-315-0423 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053863662 directly on the NPPES registry website.