KEITH BRADFORD KESSEL (NPI# 1982696381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982696381 |
| Entity Type | Individual |
| Full Name | KEITH BRADFORD KESSEL |
| Credential | M.D. |
| Practice Address |
745 Olive St Suite 109 Shreveport LA 71104-2246 |
| Practice Telephone | 3182216070 |
| Practice Fax Number | 3182216069 |
| Mailing Telephone | 3182216070 |
| Mailing Fax Number | 3182216069 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2014-08-13 |
| NPI Deactivation Date | 03/27/2006 |
| NPI Reactivation Date | 2006-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
LA10227R | LA | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
10227R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1982237 | 05 |
| Street Address |
745 OLIVE ST SUITE 109 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242680 | Henry Edward Wood Jr. | Internal Medicine | 745 Olive St, Ste 200, Shreveport, LA 71104-2246 | 2005-08-15 |
| 1356713440 | Delta Nephrology LLC | Internal Medicine | 745 Olive St, Suite 200, Shreveport, LA 71104-2246 | 2015-10-28 |
| 1891105151 | Kristy Anne Lynn | Acupuncturist | 745 Olive St, Suite 212, Shreveport, LA 71104-2246 | 2014-05-07 |
| 1700120524 | Shreveport Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 745 Olive St, Shreveport, LA 71104-2246 | 2012-11-16 |
| 1164730396 | Peterson Counseling Services, LLC | Counselor | 745 Olive St, Suite 109b, Shreveport, LA 71104-2246 | 2010-09-22 |
| 1568784031 | Medrx Inc | Pharmacy | 745 Olive St, Suite 201, Shreveport, LA 71104-2246 | 2010-02-24 |
| 1225225782 | Nancy Poshedley Alexander | Nurse Practitioner | 745 Olive St, Suite 200, Shreveport, LA 71104-2246 | 2007-09-28 |
| 1861682205 | Mary Rocks Zapczynski | Nurse Practitioner | 745 Olive St, Suite 200, Shreveport, LA 71104-2246 | 2007-08-01 |
| 1992925135 | Shreveport Surgery Center Ptrshp | Anesthesiology | 745 Olive St, Suite 100, Shreveport, LA 71104-2246 | 2007-04-30 |
| 1679792014 | Fred A. Lord Jr. | Nurse Anesthetist, Certified Registered | 745 Olive St, Suite 100, Shreveport, LA 71104-2246 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518272129 | Keith B. Kessel M.d., LLC | Psychiatry & Neurology | 745 Olive St Ste 109, Shreveport, LA 71104-2250 | 2010-08-09 |
| 1467544700 | James H Phillips | Psychiatry & Neurology | Attn: Credentials Coordinator, 510 East Stoner Avenue, Shreveport, LA 71101-4243 | 2006-09-28 |
| 1114256476 | Wk Shreveport Center for Geriatric Health | Psychiatry & Neurology | 2508 Bert Kouns Loop, Suite 303, Shreveport, LA 71118-3133 | 2009-12-16 |
| 1942414552 | Jeffrey T Overdyke | Psychiatry & Neurology | 2508 Bert Kouns Loop, Suite 303, Shreveport, LA 71118-3133 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265784094 | Thibodaux Regional Network Development Corporation | Psychiatry & Neurology | 602 N Acadia Rd, Thibodaux, LA 70301-4847 | 2012-10-03 |
| 1568768679 | Gulf South Psychiatry, LLC | Psychiatry & Neurology | 1924 Corporate Square Dr, Suite D, Slidell, LA 70458-3164 | 2011-02-07 |
| 1568777480 | Atluri & Associates, LLC | Psychiatry & Neurology | 8542 Siegen Ln, Baton Rouge, LA 70810-1940 | 2010-08-16 |
| 1184800724 | Hardtner Medical Center | Psychiatry & Neurology | 1102 N Pine Rd, Olla, LA 71465-4804 | 2008-01-14 |
| 1356328074 | Navin P Patel | Psychiatry & Neurology | 3600 Florida Blvd, Room 4613, Baton Rouge, LA 70806-3842 | 2005-12-22 |
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on KEITH BRADFORD KESSEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.