Provider Demographics
NPI:1497095723
Name:KESSLER, BRADLEY A (RPH)
Entity Type:Individual
Prefix:
First Name:BRADLEY
Middle Name:A
Last Name:KESSLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HEMLOCK ST
Mailing Address - Street 2:
Mailing Address - City:NANTICOKE
Mailing Address - State:PA
Mailing Address - Zip Code:18634-4102
Mailing Address - Country:US
Mailing Address - Phone:570-332-2252
Mailing Address - Fax:
Practice Address - Street 1:1 WEIS PLZ
Practice Address - Street 2:
Practice Address - City:NANTICOKE
Practice Address - State:PA
Practice Address - Zip Code:18634-1618
Practice Address - Country:US
Practice Address - Phone:570-735-3949
Practice Address - Fax:570-735-4567
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-23
Last Update Date:2013-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038302L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist