Kestner, Mark Thomas

Kestner, Mark Thomas is an individual health care provider with primary practice located at 44 Manning St , Medford MA 02155-4422. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kestner, Mark Thomas can be contacted via phone (602) 315-0423.

Contact Information

Primary practice address
44 Manning St Medford MA 02155-4422
Phone: (602) 315-0423
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA6008 Massachusetts

Profile Details

NPI number 1053863662
LBN Legal business name Kestner, Mark Thomas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2016
Last updated Jan 31st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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