Individual
DR. JEFFREY R KESSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
530 BALTIMORE PIKE, BEL AIR, MD 21014-4330
(410) 879-1105
(410) 838-6681
Mailing address
4062 FRAGILE SAIL WAY, ELLICOTT CITY, MD 21042-5022
(410) 465-5311
(410) 838-6681
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0667
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211328
MAMSI OPT CHOICE
—
01
—
453046
AETNA
—
01
—
54730701
BCBS
—
Enumeration date
10/13/2005
Last updated
01/05/2010
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