Individual
MR. JONATHAN K KESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT07294
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT - 007294
PT LICENSE
OH
Enumeration date
06/30/2006
Last updated
07/16/2007
Update your record
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