MEDICARE: DR. KYLEE ANNE KESSLER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH12697	FL
2	111N00000X	Chiropractor	12697	FL

General Provider Information

NPI Number	:	1437622826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYLEE ANNE KESSLER DC

Provider Business Mailing Address
First Line	:	3633 CORTEZ RD W STE A9
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34210-3100
Country	:	US
Telephone Number	:	386-682-8869
Fax Number	:

Provider Business Practice Location Address
First Line	:	3633 CORTEZ RD W STE A9
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34210-3100
Country	:	US
Telephone Number	:	386-682-8869
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2019
Last Update Date	:	05/19/2023

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