Provider Demographics
NPI:1598052383
Name:KESSLER, COURTNEY BURRELL (OD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:BURRELL
Last Name:KESSLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:COURTNEY
Other - Middle Name:M
Other - Last Name:BURRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2894 HONEY TREE DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-7218
Mailing Address - Country:US
Mailing Address - Phone:901-488-5173
Mailing Address - Fax:
Practice Address - Street 1:2760 N GERMANTOWN PKWY
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38133-8153
Practice Address - Country:US
Practice Address - Phone:901-384-9259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2985152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist