NPI 1013590868

Colton Gale Kesler, PHYSICIANASSISTANT

Practitioner Physician Assistant Norman, OK

Practice location

Address: 950 N Porter Ave STE 200, Norman, OK 73071-6400
Phone: (405) 329-0121
Mailing address: 375 S Chipeta Way STE a, Salt Lake City, UT 84108-1261

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 4928 (OK)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013590868
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2021
Record last updated: 27 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.