Doctor Name: | MICHA S KESSLER |
NPI Number: | 1629331962 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 53-75691-081 |
Business Practice Address: | 203 Watson Suite 200 Pratt, KS - 67124 |
Business Phone Number: | 6206727422 |
Business Fax Number: | 6205086476 |
Mailing Address: | Po Box 308, PRATT |
State: | KS |
Postal Code: | 67124 |
Phone Number: | 6206727422 |
Fax Number: | 6205086476 |
NPI Enumeration Date: | 06/21/2012 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 53-75691-081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |