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NPI Code Detail

MEDICARE: DR. ROBERT E KESSLER D.O.

MEDICARE: DR. ROBERT E KESSLER D.O.
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
1204D00000XNeuromusculoskeletal Medicine & OMM Physician280NV
2207Q00000XFamily Medicine Physician280NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1VD0O280OTHERNVLEGACY PROVIDER #
2NV00909OTHERNVSUBMITTER ID
3NV5526OTHERNVBC BS
4VDO280OTHERNVPTAN
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700878287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT E KESSLER D.O.
Provider Business Mailing Address
First Line : 874 AMERICAN PACIFIC DR
Second Line :
City : HENDERSON
State : NV
Zip : 89014-8800
Country : US
Telephone Number : 702-777-3138
Fax Number : 702-777-2069
Provider Business Practice Location Address
First Line : 874 AMERICAN PACIFIC DR
Second Line :
City : HENDERSON
State : NV
Zip : 89014-8800
Country : US
Telephone Number : 702-777-4809
Fax Number : 702-777-4822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 07/13/2012

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