Provider Demographics
NPI:1568601946
Name:KESSLER, CARRIE RENEE (MS CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:RENEE
Last Name:KESSLER
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 KESSLER LN
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:42743-9217
Mailing Address - Country:US
Mailing Address - Phone:270-299-1059
Mailing Address - Fax:270-299-1059
Practice Address - Street 1:120 KESSLER LN
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:KY
Practice Address - Zip Code:42743-9217
Practice Address - Country:US
Practice Address - Phone:270-299-1059
Practice Address - Fax:270-299-1059
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1464235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist