Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME59998 | FL |
NPI | 1033265723 |
---|---|
Provider Name | Steven Craig Kester |
First Address | Pompano Beach, FL 33060 |
Second Address | Pompano Beach, FL 33060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E94945 | (02) |