MEDICARE: DR. KIRSTEN L KESSLER ND

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	175F00000X	Naturopath
2	133N00000X	Nutritionist	164.009644	IL

General Provider Information

NPI Number	:	1992417950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIRSTEN L KESSLER ND

Provider Business Mailing Address
First Line	:	3113 COUNTRY LN
Second Line	:
City	:	WAUKEGAN
State	:	IL
Zip	:	60087-5338
Country	:	US
Telephone Number	:	619-997-0262
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 NATIONS DR STE 117-3
Second Line	:
City	:	GURNEE
State	:	IL
Zip	:	60031-9171
Country	:	US
Telephone Number	:	224-513-0681
Fax Number	:

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

Provider Enumeration Date	:	12/21/2022
Last Update Date	:	08/13/2024

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Directions to “ DR. KIRSTEN L KESSLER ND” Practice Location

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