Healthcare Provider Details
I. General information
NPI: 1013972348
Provider Name (Legal Business Name): ROBERT M KESSLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/19/2006
Last Update Date: 01/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4513 WESTBANK EXPY
MARRERO LA
70072-3120
US
IV. Provider business mailing address
4513 WESTBANK EXPY
MARRERO LA
70072-3120
US
V. Phone/Fax
- Phone: 504-349-6360
- Fax: 504-349-6363
- Phone: 504-349-6360
- Fax: 504-349-6363
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | 06220R |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: