Provider Demographics
NPI:1518414242
Name:KESLER, JOHN IAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:IAN
Last Name:KESLER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5839 HARBOUR VIEW BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3797
Mailing Address - Country:US
Mailing Address - Phone:757-394-1870
Mailing Address - Fax:757-394-1873
Practice Address - Street 1:14440 WARWICK BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-3719
Practice Address - Country:US
Practice Address - Phone:757-874-5084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-11
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202215326183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist