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NPI Code Detail

MEDICARE: DR. JEFFREY KESTEN MD

MEDICARE:  DR. JEFFREY  KESTEN  MD
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
1208100000XPhysical Medicine & Rehabilitation Physician27693NV
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician27693NV

General Provider Information

NPI Number : 1124107909
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY KESTEN MD
Provider Business Mailing Address
First Line : 526 S TONOPAH DR STE 140-160
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4043
Country : US
Telephone Number : 702-897-7250
Fax Number :
Provider Business Practice Location Address
First Line : 526 S TONOPAH DR STE 140-160
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4043
Country : US
Telephone Number : 702-897-7250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 10/28/2025

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Directions to “ DR. JEFFREY KESTEN MD” Practice Location

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