Provider Demographics
NPI:1194787937
Name:KEST, DAREN GREGG (DO)
Entity type:Individual
Prefix:
First Name:DAREN
Middle Name:GREGG
Last Name:KEST
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39000 BOB HOPE DR.
Mailing Address - Street 2:PROBST 202
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-7018
Mailing Address - Country:US
Mailing Address - Phone:602-470-5000
Mailing Address - Fax:602-470-5064
Practice Address - Street 1:39000 BOB HOPE DR.
Practice Address - Street 2:PROBST BLDG. STE. 202
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:85016-8034
Practice Address - Country:US
Practice Address - Phone:760-346-1788
Practice Address - Fax:760-346-1422
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY02876207Y00000X
MO2012001378207YX0007X
AZ008057207YX0007X
CA22346207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64029382Medicaid
H20963Medicare UPIN
KY64029382Medicaid