Provider Demographics
NPI:1114974904
Name:KESSON INC
Entity Type:Organization
Organization Name:KESSON INC
Other - Org Name:KESSON ' A MULTI-SPECIALTY CLINIC'
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DELPHINA
Authorized Official - Middle Name:CHIKAMELE
Authorized Official - Last Name:AMUNEKE-OTUFALE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMC
Authorized Official - Phone:713-344-8475
Mailing Address - Street 1:9301 BISSONNET ST
Mailing Address - Street 2:STE 162
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1498
Mailing Address - Country:US
Mailing Address - Phone:713-344-8475
Mailing Address - Fax:713-728-2230
Practice Address - Street 1:9301 BISSONNET ST
Practice Address - Street 2:STE 162
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1498
Practice Address - Country:US
Practice Address - Phone:713-344-8475
Practice Address - Fax:713-728-2230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty