Doctor Name: | DR. JENNIFER RUTH KESSMANN |
NPI Number: | 1093897316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | J6521 |
Business Practice Address: | 9003 Airport Fwy Suite 300 North Richland Hills, TX - 761807770 |
Business Phone Number: | 8175145200 |
Business Fax Number: | 8175145210 |
Mailing Address: | 9003 Airport Fwy, Suite 300 NORTH RICHLAND HILLS |
State: | TX |
Postal Code: | 761807770 |
Phone Number: | 8175145200 |
Fax Number: | 8175145210 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 03/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | J6521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |