Provider Demographics
NPI:1497843767
Name:KESSCO INC
Entity Type:Organization
Organization Name:KESSCO INC
Other - Org Name:KESSCO DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:614-444-8197
Mailing Address - Street 1:952 PARSONS AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-2346
Mailing Address - Country:US
Mailing Address - Phone:614-444-8197
Mailing Address - Fax:614-444-1878
Practice Address - Street 1:952 PARSONS AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-2346
Practice Address - Country:US
Practice Address - Phone:614-444-8197
Practice Address - Fax:614-444-1878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3613672OtherNAPB
OH8158229Medicaid
1053360001Medicare ID - Type Unspecified