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Organization

CORBY S. KESSLER, MD, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORBY KESSLER MD (OWNER)
(707) 255-6115
Entity
Organization

Contact information

Practice address
935 TRANCAS ST, SUITE 1B, NAPA, CA 94558-2932
(707) 255-6115
(707) 255-6613
Mailing address
935 TRANCAS ST, SUITE 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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G769020
BLUE SHEILD
CA
05
00G769021
CA
01
DA9971
RAILROAD MEDICARE NUMBER
CA
01
ZZZ29521Z
MEDICARE PROVIDER NUMBER
CA
Enumeration date
11/08/2006
Last updated
06/13/2008
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