MEDICARE: DANIEL B KESSLER M.D.

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	2080P0006X	Developmental - Behavioral Pediatrics Physician	19704	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326157348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL B KESSLER M.D.

Provider Business Mailing Address
First Line	:	3200 N CENTRAL AVE
Second Line	:	SUITE 900
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2425
Country	:	US
Telephone Number	:	602-406-3729
Fax Number	:	602-798-9412

Provider Business Practice Location Address
First Line	:	3600 N 3RD AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-3904
Country	:	US
Telephone Number	:	602-406-3543
Fax Number	:	602-406-6135

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/09/2007

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