Doctor Name: | MICHELE B KESSLER |
NPI Number: | 1215161781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 103266 |
Business Practice Address: | 228 S Madison Blvd Roxboro, NC - 275735428 |
Business Phone Number: | 3365985480 |
Business Fax Number: | |
Mailing Address: | Po Box 61474, DURHAM |
State: | NC |
Postal Code: | 277151474 |
Phone Number: | 9195446318 |
Fax Number: | 9195446336 |
NPI Enumeration Date: | 05/12/2009 |
NPI Last Update Date: | 05/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 103266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |