Individual
REX KEITH KESSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 DUTTON MILL RD, STE 110, ASTON, PA 19014-2849
(610) 876-2300
(610) 876-3004
Mailing address
PO BOX 1897, BOOTHWYN, PA 19061-7897
(610) 876-2300
(610) 876-3004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 020904E
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD 020904E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001612715-0006
—
PA
01
—
2060988000
KEYSTONE EAST
PA
01
—
2769330/3545085
AETNA
PA
Enumeration date
07/12/2005
Last updated
10/03/2012
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