Healthcare Provider Details

I. General information

NPI: 1538103577
Provider Name (Legal Business Name): ROBERT ROSS KESTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2495 SHREVEPORT HWY
PINEVILLE LA
71360-4044
US

IV. Provider business mailing address

1291 COSTA DEL SOL
BROWNSVILLE TX
78520-7460
US

V. Phone/Fax

Practice location:
  • Phone: 954-362-2720
  • Fax: 954-362-2762
Mailing address:
  • Phone: 218-731-9610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME161833
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License NumberME161833
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: