Provider Demographics
NPI:1134121494
Name:KESSLER, WILLIAM JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:KESSLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 FAR HILLS AVE
Mailing Address - Street 2:STE 15
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45419-1602
Mailing Address - Country:US
Mailing Address - Phone:937-294-1159
Mailing Address - Fax:937-294-8836
Practice Address - Street 1:2600 FAR HILLS AVE
Practice Address - Street 2:STE 15
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45419-1602
Practice Address - Country:US
Practice Address - Phone:937-294-1159
Practice Address - Fax:937-294-8836
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35047082207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0483712Medicaid
OHKE0508653Medicare ID - Type UnspecifiedMEDICARE BETHANY OFFICE
OHKE0508651Medicare ID - Type UnspecifiedMEDICARE MAIN OFFICE
OH0483712Medicaid
OHKE0508652Medicare ID - Type UnspecifiedMEDICARE HUBER OFFICE
OHA15071Medicare UPIN