Organization
CHARLESTON GYNECOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHAELA ELAINE KESSLER DO (PHYSICIAN)
(304) 414-4810
Entity
Organization
Contact information
Practice address
500 POPLAR ST, SUITE 203, SOUTH CHARLESTON, WV 25309-1474
(304) 414-4810
(304) 414-4819
Mailing address
500 POPLAR ST, SUITE 203, SOUTH CHARLESTON, WV 25309-1474
(304) 414-4810
(304) 414-4819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2105
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810012911
—
WV
Enumeration date
06/25/2014
Last updated
06/25/2014
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