ROBERT ANTHONY KIESECKER

MEDFORD, OR
NPI1750567129
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LX0106X Nurse Practitioner, Occupational Health
(Licence: OR  201909324NP-PP)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: AZ  AP2889)
363L00000X Nurse Practitioner
(Licence: WA  AP60681430)
Enumeration Date2008-01-16
Last Update Date2020-02-26
Business Address
ROBERT ANTHONY KIESECKER DNP, FNP-BC
781 BLACK OAK DR STE 102
MEDFORD, OR 97504-9501
Phone number: 541-789-4236
Mailing Address
ROBERT ANTHONY KIESECKER DNP, FNP-BC
PO BOX 10880
PRESCOTT, AZ 86304-0880
Phone number: 928-759-5987