Healthcare Provider Details

I. General information

NPI: 1457573370
Provider Name (Legal Business Name): DANIELLE KESSLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18703 V STREET
OMAHA NE
68135
US

IV. Provider business mailing address

18703 V STREET
OMAHA NE
68135
US

V. Phone/Fax

Practice location:
  • Phone: 402-659-6474
  • Fax:
Mailing address:
  • Phone: 402-659-6474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: