Provider Demographics
NPI:1235480401
Name:KESSLER, KATHY HELEN (CRNP)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:HELEN
Last Name:KESSLER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:18433-1900
Mailing Address - Country:US
Mailing Address - Phone:570-881-6181
Mailing Address - Fax:
Practice Address - Street 1:1789 N KEYSER AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18508-1250
Practice Address - Country:US
Practice Address - Phone:570-969-1904
Practice Address - Fax:570-207-5314
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2016-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012122363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily