DR. Gary L Kezele, PH.D.

NPI #1609092378 in Mequon, Wisconsin

Provider Information

NPI Number: 1609092378
Entity Type: Individual
Name: DR. Gary L Kezele, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Apr 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1317 W TOWNE SQUARE RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-5017
Phone: (262) 241-5099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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