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NPI Code Detail

MEDICARE: TRINA ANNE KESSINGER MD

MEDICARE: TRINA ANNE KESSINGER MD
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
1207Q00000XFamily Medicine Physician38015CO

Other Identifiers

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

General Provider Information

NPI Number : 1356347785
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINA ANNE KESSINGER MD
Provider Business Mailing Address
First Line : PO BOX 52631
Second Line :
City : PHOENIX
State : AZ
Zip : 85072-2631
Country : US
Telephone Number : 970-395-7878
Fax Number : 970-395-7880
Provider Business Practice Location Address
First Line : 1300 MAIN ST
Second Line :
City : WINDSOR
State : CO
Zip : 80550-5989
Country : US
Telephone Number : 970-395-7878
Fax Number : 970-395-7880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 02/20/2013

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