Provider Demographics
NPI:1487648762
Name:KESSLER, KURT F (MD)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:F
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 1:311 E SPRUCE ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-5614
Mailing Address - Country:US
Mailing Address - Phone:620-271-3100
Mailing Address - Fax:620-275-3743
Practice Address - Street 1:311 E SPRUCE ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-5614
Practice Address - Country:US
Practice Address - Phone:620-271-3100
Practice Address - Fax:620-275-3743
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40047174400000X
KS04-21153174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
G39203Medicare UPIN