Individual
DR. JENNIFER RUTH KESSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12240 INWOOD RD STE 500, DALLAS, TX 75244-8007
(817) 912-1289
Mailing address
PO BOX 96163, SOUTHLAKE, TX 76092-0126
(817) 912-1289
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
J6521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133214007
—
TX
Enumeration date
10/19/2006
Last updated
07/09/2020
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