Individual
CORBY S. KESSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
935 TRANCAS ST, STE 1B, NAPA, CA 94558-2932
(707) 255-6115
(707) 255-6613
Mailing address
935 TRANCAS ST, STE 1B, NAPA, CA 94558-2932
(707) 255-6115
(707) 255-6613
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G76902
CA
2081P0004X
Spinal Cord Injury Medicine Physician
G76902
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
G76902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G769020
MEDICARE PROV #
CA
01
—
00G769021
MEDI-CAL
CA
01
—
037930
HEALTHNET
CA
01
—
138791900
US DEPT OF LABOR
CA
01
—
411753977
BC OF CA
CA
01
—
F26750
UPIN
CA
01
—
P00081783
RR MEDICARE
CA
Enumeration date
08/15/2006
Last updated
02/26/2013
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