Basic Information
| Provider Information | |||||||||
| NPI: | 1538103577 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KESTER | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | ROSS | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 777 E 25TH ST | ||||||||
| Address2: | SUITE 304 | ||||||||
| City: | HIALEAH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330133825 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3056966555 | ||||||||
| FaxNumber: | 3056960200 | ||||||||
| Practice Location | |||||||||
| Address1: | 712 S CASCADE ST | ||||||||
| Address2: | |||||||||
| City: | FERGUS FALLS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 565372913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2187368000 | ||||||||
| FaxNumber: | 2187368765 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2006 | ||||||||
| LastUpdateDate: | 05/23/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2088F0040X | ME82832 | FL | N | Allopathic & Osteopathic Physicians | Urology | Female Pelvic Medicine and Reconstructive Surgery | 208800000X | ME82832 | FL | Y | Allopathic & Osteopathic Physicians | Urology |
ID Information
| ID | Type | State | Issuer | Description | 1148253 | 01 | ME | AETNA | OTHER | P1020633 | 01 | FL | FREEDOM | OTHER | ZCHG8 | 01 | FL | BCBS HEALTH OPTIONS | OTHER | ZCHG8 | 01 | FL | BLUE CROSS AND BLUE SHIELD OF FLORIDA | OTHER | 228440000 | 05 | ME | MEDICAID | 4123968 | 01 | FL | AETNA | OTHER | E78811 | 01 | ME | HARVARD PILGRIM | OTHER | F00092113100 | 01 | FL | UNITED | OTHER | P959149 | 01 | FL | OPTIMUM | OTHER | 7568282 | 01 | FL | CIGNA | OTHER | P01378091 | 01 | FL | RR MEDICARE | OTHER | 376656 | 01 | FL | AVMED | OTHER | 079191 | 01 | ME | ANTHEM | OTHER | M60841 | 01 | ME | CIGNA | OTHER |