Provider Demographics
NPI:1003879263
Name:KESSLER, ROBERT NEIL (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:NEIL
Last Name:KESSLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9987 VERREE RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-1437
Mailing Address - Country:US
Mailing Address - Phone:215-698-5800
Mailing Address - Fax:215-698-0998
Practice Address - Street 1:9987 VERREE RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-1437
Practice Address - Country:US
Practice Address - Phone:215-698-5800
Practice Address - Fax:215-698-0998
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003583L111N00000X
FLCH5649111N00000X
GACHIR002674111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2227701000OtherKEYSTONE
PA2227701000OtherKEYSTONE
PAT92428Medicare UPIN