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NPI Code Detail

MEDICARE: KEVIN J KESSLER MD PA

MEDICARE: KEVIN J KESSLER MD PA
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
1207X00000XOrthopaedic Surgery PhysicianFL

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 : 1528034402
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEVIN J KESSLER MD PA
Provider Business Mailing Address
First Line : 800 E CYPRESS CREEK RD STE 304
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33334-3522
Country : US
Telephone Number : 954-491-7758
Fax Number : 954-938-5339
Provider Business Practice Location Address
First Line : 800 E CYPRESS CREEK RD STE 304
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33334-3522
Country : US
Telephone Number : 954-491-8906
Fax Number : 954-958-9227
Authorized Official
Title or Position : PRACTICE MANAGER
Name : LAURA H STONER
Credential :
Telephone Number : 954-491-7758
Provider Enumeration Date : 02/28/2006
Last Update Date : 08/17/2020

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