Individual
SHASTA KESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
740 S LIMESTONE, J401, LEXINGTON, KY 40536-0001
(859) 323-5661
Mailing address
740 S LIMESTONE, J401, LEXINGTON, KY 40536-0001
(859) 323-5661
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
44918
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
09/17/2007
Last updated
05/02/2022
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