Provider Demographics
NPI:1346327491
Name:KESSLER, DAVID BRYN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRYN
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 1:800 KING FARM BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5979
Mailing Address - Country:US
Mailing Address - Phone:301-740-1030
Mailing Address - Fax:301-354-2995
Practice Address - Street 1:800 KING FARM BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5979
Practice Address - Country:US
Practice Address - Phone:301-740-1030
Practice Address - Fax:301-354-2995
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD11929207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD52122396OtherTIN