Provider Demographics
NPI:1538103577
Name:KESTER, ROBERT ROSS (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ROSS
Last Name:KESTER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1291 COSTA DEL SOL
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7460
Mailing Address - Country:US
Mailing Address - Phone:218-731-9610
Mailing Address - Fax:
Practice Address - Street 1:2495 SHREVEPORT HWY
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-4044
Practice Address - Country:US
Practice Address - Phone:954-362-2720
Practice Address - Fax:954-362-2762
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1618332088F0040X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No2088F0040XAllopathic & Osteopathic PhysiciansUrologyUrogynecology and Reconstructive Pelvic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1148253OtherAETNA
FL7568282OtherCIGNA
FLF00092113100OtherUNITED
FLP01378091OtherRR MEDICARE
MEE78811OtherHARVARD PILGRIM
FLZCHG8OtherBCBS HEALTH OPTIONS
ME079191OtherANTHEM
ME228440000Medicaid
FL376656OtherAVMED
FL4123968OtherAETNA
FLP959149OtherOPTIMUM
FLP1020633OtherFREEDOM
FLZCHG8OtherBLUE CROSS AND BLUE SHIELD OF FLORIDA
MEM60841OtherCIGNA
ME079191OtherANTHEM
FLP959149OtherOPTIMUM
FL376656OtherAVMED
FLF00092113100OtherUNITED
MEP00274963Medicare PIN