Individual
HOWARD D KESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1125 MADISON STREET, CAPITAL REGION MEDICAL CENTER, JEFFERSON, MO 65101
(800) 875-0136
(937) 619-4231
Mailing address
3130 MADISON STREET, JEFFERSON, MO 65101
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
103876
MO
207P00000X
Emergency Medicine Physician
34008371
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000349644
BCBS
OH
05
—
2528134
—
OH
01
—
P00186937
RR MEDICARE
—
Enumeration date
05/26/2006
Last updated
10/28/2020
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