Keith B. Kessel M.D., LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

10227R Issued in LA

Legal business name

KEITH B. KESSEL M.D., LLC

Practice address

745 Olive St Ste 109
Shreveport, LA 71104-2250

Phone

(318) 221-6070

Fax

(318) 221-6069

NPI assigned

Aug 9, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candee Carman

Title

Office Manager

Phone

(318) 221-6070

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1518272129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 OLIVE ST STE 109",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042250",
            "telephone_number": "318-221-6070",
            "fax_number": "318-221-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 OLIVE ST STE 109",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042250",
            "telephone_number": "318-221-6070",
            "fax_number": "318-221-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH B. KESSEL M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "CARMAN",
        "authorized_official_first_name": "CANDEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-221-6070"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "10227R",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "LA",
            "license": "10227R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982237",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arniesha D Keener
• Kristen McCoy Keener, AG-ACNP
• Keep 'Em Rolling LLC
• Brittany Kees, APRN
• Jawan Keeth
• Carrie Keith, DPT
• Kacie Dore' Keith, PHARMD
• Lori Keith
• Katelyn Nicole Kellar
• Dwayne Keller, MD

• Psychiatry Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.