Robert Anthony Kiesecker Jr.
DNP, FNP-BC | Nurse Practitioner
781 Black Oak Dr Ste 102, Medford
Oregon, 97504-9501
541-789-4236
May or may not accept Medicare Nurse Anesthetist in Medford, Oregon.Robert Anthony Kiesecker Jr. is a Medford, Oregon based nurse practitioner. Active license number of Robert Anthony Kiesecker Jr. is 201909324NP-PP for Occupational Health in Oregon. His current practice location is 781 Black Oak Dr Ste 102, Medford. Patients can reach him at 541-789-4236 or can fax him at 541-789-5965. Robert Anthony Kiesecker Jr. is DNP, FNP-BC and his NPI number (Unique professional ID assigned by NPPES) is 1750567129.
Robert Anthony Kiesecker Jr. has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Robert Anthony Kiesecker Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Robert Anthony Kiesecker Jr. |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | DNP, FNP-BC |
| Practice Address: | 781 Black Oak Dr Ste 102, Medford, Oregon, 97504-9501 |
| Phone: | 541-789-4236 |
| Fax: | 541-789-5965 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1750567129 |
| NPI Enumeration Date: | 16 Jan, 2008 |
| NPI Last Update On: | 26 Feb, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert Anthony Kiesecker Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 201909324NP-PP | Occupational Health | Oregon | Primary | |
| AP2889 | Nurse Practitioner | Arizona | Secondary | |
| AP60681430 | Nurse Practitioner | Washington | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Robert Anthony Kiesecker Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 405773 | Medicaid | Arizona | |
| 1750567129 | Medicaid | Washington | |
| Z197493 | Other | Arizona | MEDICARE |
| 201909324NP-PP | Other | Oregon | OR NP LICENSE |
| AP2889 | Other | Arizona | AZ LICENSE |
| P01708343 | Other | Washington | RR MEDICARE WVH |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Robert Anthony Kiesecker Jr. Po Box 10880, Prescott, Arizona |
| Zip: | 86304-0880 |
| Phone Number: | 928-759-5987 |
| Fax Number: | 928-458-2039 |
Patients can reach Robert Anthony Kiesecker Jr. at
781 Black Oak Dr Ste 102, Medford, Oregon or can
call to book an appointment on 541-789-4236.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.