Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robert Anthony Kiesecker Jr., DNP, FNP-BC

Individual provider Nurse Practitioner · NPI 1750567129

Robert Anthony Kiesecker Jr., DNP, FNP-BC is a Nurse Practitioner in Medford, Oregon. Licensed in Arizona, Oregon and Washington. Registered with an NPI since 2008.

Licensed in
AZ, OR, WA
In the registry since
2008
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

781 Black Oak Dr Ste 102
Medford, OR 97504-9501
Phone: (541) 789-4236
Fax: (541) 789-5965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Health Nurse Practitioner (primary) Taxonomy 363LX0106X · Licence 201909324NP-PP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence AP2889 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence AP60681430 (WA)

Record details

NPI number1750567129
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 16, 2008
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020

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