MEDICARE: MICHAEL H KESLIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	70-148	NM

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	34P718001	OTHER	NM	MEDICARE PTAN
11	343731801	OTHER	NM	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10001051	OTHER	NM	LOVELACE
2	NM001R88	OTHER	NM	BLUE CROSS BLUE SHIELD
3	7286515	OTHER	NM	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	3545500	OTHER	NM	CIGNA
6	NM0012Q04	OTHER	NM	BLUE CROSS BLUE SHIELD
8	202020906	OTHER	NM	PRESBYTERIAN
9	2665015	OTHER	NM	UNITED HEALTH CARE
10	10733	OTHER	NM	HMN
12	PROVP13821	OTHER	NM	MOLINA

General Provider Information

NPI Number	:	1467475756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL H KESLIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2154
Second Line	:
City	:	SKYLAND
State	:	NC
Zip	:	28776-2154
Country	:	US
Telephone Number	:	828-575-2644
Fax Number	:	828-350-2174

Provider Business Practice Location Address
First Line	:	6100 PAN AMERICAN EAST FWY NE
Second Line	:	SUITE 330
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-3427
Country	:	US
Telephone Number	:	505-856-2735
Fax Number	:	505-856-2749

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	11/11/2015

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Directions to “ MICHAEL H KESLIN M.D.” Practice Location

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