Healthcare Provider Details

I. General information

NPI: 1346327491
Provider Name (Legal Business Name): DAVID BRYN KESSLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 KING FARM BLVD SUITE 300
ROCKVILLE MD
20850-5979
US

IV. Provider business mailing address

800 KING FARM BLVD SUITE 300
ROCKVILLE MD
20850-5979
US

V. Phone/Fax

Practice location:
  • Phone: 301-740-1030
  • Fax: 301-354-2995
Mailing address:
  • Phone: 301-740-1030
  • Fax: 301-354-2995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberD11929
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: