Mr Keith Richard Kokseng, PSY D - Psychologist in Saint Petersburg, FL

Mr Keith Richard Kokseng, PSY D is a Psychologist - Clinical based in Saint Petersburg, Florida. Mr Keith Richard Kokseng is licensed to practice in Florida (license number PY9814) and his current practice location is 2804 1st Ave S, Saint Petersburg, Florida. He can be reached at his office (for appointments etc.) via phone at (813) 523-7563.

NPI number for Mr Keith Richard Kokseng is 1356476782 and his current mailing address is 2804 1st Ave S, Saint Petersburg, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356476782.

Contact Information

Mr Keith Richard Kokseng, PSY D
2804 1st Ave S,
Saint Petersburg, FL 33712-1002
(813) 523-7563
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Keith Richard Kokseng
GenderMale
SpecialityPsychologist - Clinical
Location2804 1st Ave S, Saint Petersburg, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356476782
  • Provider Enumeration Date: 02/23/2007
  • Last Update Date: 06/22/2022

Medical Identifiers

Medical identifiers for Mr Keith Richard Kokseng such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356476782NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
103TC0700XPsychologist - Clinical PY9814 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Keith Richard Kokseng is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Keith Richard Kokseng, PSY D
2804 1st Ave S,
Saint Petersburg, FL 33712-1002

Ph: (727) 201-2485
Mr Keith Richard Kokseng, PSY D
2804 1st Ave S,
Saint Petersburg, FL 33712-1002

Ph: (813) 523-7563

Reviews and Comments


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