Individual
PAUL KESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2626 E 46TH ST, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
Mailing address
2626 E 46TH ST, INDIANAPOLIS, IN 46205-2380
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27053197A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351866298
—
IN
Enumeration date
02/26/2016
Last updated
02/26/2016
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