Provider Demographics
NPI:1598190415
Name:KESSLER, CHRISTOPHER GERALD (MOT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:GERALD
Last Name:KESSLER
Suffix:
Gender:M
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 PINTO RD
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:NM
Mailing Address - Zip Code:87015-7935
Mailing Address - Country:US
Mailing Address - Phone:505-281-2261
Mailing Address - Fax:
Practice Address - Street 1:23 PINTO RD
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:NM
Practice Address - Zip Code:87015-7935
Practice Address - Country:US
Practice Address - Phone:505-281-2261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3127174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist